29 May 2019
During an inspection looking at part of the service
We carried out an announced focused inspection at Violet Lane Medical Practice on 29 May 2019 to follow up on the breaches of regulation.
At the last inspection in April 2018 we rated the practice as requires improvement in safe because:
- The provider did not have a clear system in place to manage medicines and safety alerts and had not undertaken risk assessments to ensure safe care for all staff and service users.
- The provider did not ensure staff received training appropriate to their role.
At this inspection, we found that the provider had satisfactorily addressed these areas.
We based our judgement of the quality of care at this service on a combination of:
- what we found when we inspected
- information from our ongoing monitoring of data about services and
- information from the provider, patients, the public and other organisations.
We have rated this practice as good overall and good for all population groups.
We found that:
- The practice had clear systems to manage risk so that safety incidents were less likely to happen.
- The provider had a clear system in place to manage medicines and safety alerts.
- The provider had undertaken a comprehensive fire risk assessment and addressed the recommendations; they also undertook regular risk assessments for the ongoing building works in the premises to ensure safety of staff and patients.
- All staff had undertaken training appropriate to their role.
Whilst we found no breaches of regulations, the provider should:
- Consider reviewing the health and safety risk assessment of the premises once the building works are completed.
- Continue to improve uptake of childhood immunisations.
- Continue to improve outcomes for patients with long-term conditions.
- Improve communication for patients with hearing impairments.
- Review practice procedures to ensure the Patient Participation Group (PPG) is re-established.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care