Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection of Drs Adey and Dancy on 8 November 2016. The overall rating for the practice was good. However, the practice was rated as requires improvement for providing safe services. The full comprehensive report on the November 2016 inspection can be found by selecting the ‘all reports’ link for Drs Adey and Dancy on our website at www.cqc.org.uk.
This inspection was a desk-based review carried out on 25 May 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulation that we identified at our previous inspection on 8 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 and now as good for providing safe services.
Our key findings were as follows:
-
Action had been taken to improve the recording of significant events.
-
Action had been taken to ensure that the premises and equipment were safely maintained.
-
A risk assessment had been recorded regarding the provision of emergency equipment at the branch practices.
In addition, the practice had made the following improvements:
-
A system had been put in place to record the action taken following the receipt of patient safety alerts.
-
An assessment had taken place to determine which emergency medication would be available.
-
Protocols and staff guidance had been updated around the monitoring of urgent referrals to hospital and the management of the security of prescriptions.
-
A risk assessment of the storage of patient records had been recorded.
-
The staff recruitment procedure had been revised and a template devised to ensure information about any physical or mental conditions which were relevant (after reasonable adjustments) to the role the person was being employed for was considered.
-
The salaried GP had received an in-house appraisal.
-
A system had been introduced to ensure meetings were minuted on a consistent basis.
-
A central record was held of clinical training that needed to be periodically renewed.
-
Action plans had been developed to address the issues identified in the infection control audits for the branch practices.
The areas where the provider should make improvements are:
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice