Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Seven Kings Practice on 6 December 2016. The overall rating for the practice was good. Within that overall rating the practice was rated as requires improvement for providing safe services. This was because we had concerns about systems in place to hold and monitor supplies of emergency medicines. We also asked the practice to review arrangements around repeat prescribing, to develop a quality improvement programme which identified where practice specific improvements could be made and to review the complaints system to ensure that complaints made verbally were effectively recorded and used to improve care.
The full comprehensive report on the December 2016 inspection can be found by selecting the ‘all reports’ link for Seven Kings Practice on our website at www.cqc.org.uk/location/1-564529110.
This inspection was an announced focused inspection carried out on 5 September 2017 to confirm that the practice had carried out their plan to bring about improvements in the areas identified in our previous inspection on 6 December 2016. This report covers our findings in relation to improvements made since our last inspection. We found that the practice had taken appropriate action to bring about improvements relating to providing a safe service.
We have revised the rating in safe to good. Overall the practice is still rated as good.
Our key findings were as follows:
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The practice had put systems in place to monitor supplies of emergency medicines and maintained records to demonstrate this was happening. Emergency medicines held at the practice reflected the regulated activities undertaken at the practice.
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The practice had introduced a protocol to manage repeat prescriptions, including steps to undertake earlier reviews of uncollected prescriptions.
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The practice was able to provide evidence of a quality improvement programme, including clinical audits, which identifies where practice specific improvements could be made.
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The practice had reviewed the complaints system and had put a process in place to ensure that all complaints, including those made verbally were effectively recorded and used to improve care.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice