28/06/2018
During an inspection looking at part of the service
Overall, the practice is rated as Good.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Overall, the practice is rated as Good.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Southlea Group Practice on 12 January 2017. The overall rating for the practice was good. The practice was rated outstanding for providing responsive services but requires improvement for providing safe services. The full comprehensive report on the January 2017 inspection can be found by selecting the ‘all reports’ link for Southlea Group Practice on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 8 August 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 12 January 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice remains rated as good.
Our key findings were as follows:
Improvements had been made to monitoring infection control. All staff had received training booklets for self-learning and a new infection control lead had been identified.
Selected members of staff had been booked to attend a two day training course on infection control to support the practice in overseeing processes. The training was booked for October 2017 and March 2018.
Infection control audits were completed and actions identified. Actions not yet completed had timescales in place.
The practice had contracted in an external company to oversee monitoring of Legionella risk and regular water temperature testing.
References were collected and stored as electronic copies in staff personnel files.
It remained the position that not all practice staff had received the training or training updates they needed in a timely way. The practice had created a training record monitoring system which was reviewed monthly. Gaps had been identified for staff in need of training.
Not all staff had a record of completed safeguarding training. However clinicians had been booked onto level 3 training for October 2017.
Not all staff had completed fire safety, information governance or Mental Capacity Act 2005 (MCA) training. However dates had been booked for fire safety awareness and MCA training.
However, there were also areas of practice where the provider needs to make improvements.
Importantly, the provider must:
Ensure persons employed in the provision of the regulated activity receive the appropriate support, training, professional development, supervision and appraisal necessary to enable them to carry out their duties.
In addition the provider should:
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Southlea Group Practice on 12 January 2017. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows
We saw two areas of outstanding practice:
The areas where the provider must make improvements are:
The area where the provide should make improvements are:
Chief Inspector of General Practice