9 December 2015
During an inspection looking at part of the service
Letter from the Chief Inspector of General Practice
We carried out an announced inspection of this practice on 28 April 2015. Breaches of legal requirements were found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the following legal requirements set out in the Health and Social Care Act (HSCA) 2008:
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Regulation 17 HSCA 2008 (Regulated Activities) Regulations 2014 Good governance;
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Regulation 18 HSCA 2008 (Regulated Activities) Regulations 2014 Staffing;
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Regulation 19 HSCA 2008 (Regulated Activities) Regulations 2014 Fit and proper persons employed.
We undertook this focused inspection to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Dr Dixit's Practice on our website at www.cqc.org.uk.
Our key findings were as follows:
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The practice had addressed the issues identified during the previous inspection.
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Significant event and patient safety alerts were managed appropriately and the correct guidelines were followed.
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Systems to manage and monitor the prevention and control of infection were in place and improvements had been made.
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Disclosure and Barring Service checks (DBS) had been completed for all staff.
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Electrical and medical equipment had been checked and was fit for use.
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Arrangements were in place to manage fire safety.
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Staff had received the appropriate training required for their role and an appraisal in the last year.
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There were governance arrangements in place and ongoing improvements were being made.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice