Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Chobham and West End Medical Practice on 1 December 2015. The overall rating was good. During the inspection we found breaches of legal requirements and the provider was rated as requires improvement under the safe key question. Following this inspection the practice sent to us an action plan detailing what they would do to meet the legal requirements in relation to the following:-
- Ensuring that all complaints and safety incidents and their investigation were recorded thoroughly and that learning was shared appropriately to support improvement.
- Ensuring that blank prescription forms were stored securely and tracked.
- Ensuring that clinical waste was stored securely.
The full comprehensive report on the 1 December 2015 inspection outcome can be found by selecting the ‘all reports’ link for Chobham and West End Medical Practice on our website at www.cqc.org.uk.
An announced focused inspection was carried out on 7 February 2017. This inspection was to verify if the practice had carried out their action plan to meet the legal requirements in relation to the breaches in regulations that we had identified in our previous inspection on 1 December 2015. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
We saw that the practice had made significant improvements since our December 2015 inspection. Overall the practice is rated as good.
Our key findings were as follows:
- There was an open and transparent approach to safety and an effective system in place for reporting, recording and investigating significant events. Learning was shared with appropriate staff to support improvement.
- Blank prescription forms were being tracked and stored securely.
- Clinical waste was stored securely.
At our previous inspection on 1 December 2015, we found that the practice was performing below local and national averages for monitoring and reviewing patients experiencing poor mental health, uptake of flu vaccines and childhood immunisations We also noted that the practice was not maintaining a complete contemporaneous record for all patients.
During our inspection 7 February 2017 we saw;
- The practice was maintaining complete contemporaneous medical records for all patients.
- • The practice had a schedule in place to ensure regular reviews and monitoring of patients that were vulnerable or experiencing poor mental health.
The areas where the provider should make improvement are:
- Continue regular review of patient treatment outcomes to ensure increased uptake in childhood immunisations.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice