Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Church Lane Surgery on 3 November 2016. The overall rating for the practice was good. However, a breach of the legal requirements was found which resulted in the practice being rated as requires improvement for providing safe services. The full comprehensive report for the November 2016 inspection can be found by selecting the ‘all reports’ link for Church Lane Surgery on our website at www.cqc.org.uk.
In addition to the breach of regulation, at the inspection on 3 November 2016 we also said the practice should consider the following areas:
- Review the arrangements currently in place for revisiting changes introduced by the practice over time to ensure they are effective and embedded within the practice.
- Review the governance arrangements currently in place for monitoring training to ensure the system is effective and affords the management oversight of what training is due to be completed and updated.
- Review the effectiveness of the governance arrangements in place for the recruitment of staff to ensure staff are recruited in a safe and timely way.
- Review the arrangements for supervising dispensing staff to ensure dispensing staff are supervised by a member of staff with detailed knowledge of their role.
This inspection was an announced focused inspection carried out on 5 July 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach of regulations that we identified in our previous inspection on 3 November 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is rated as good.
Our key findings were as follows:
- The practice had reviewed their arrangements for the management of medicines and these were managed safely.
- We saw that significant events, near misses and changes within the practice were discussed at relevant team meetings and that minutes were made available to all staff.
- The practice had implemented an improved system to monitor staff training, which enabled the management to review and arrange training in a proactive manner.
- The practice had reviewed the arrangements for the recruitment of staff.
- We found that the arrangements for the supervision of dispensary staff were appropriate.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice