We carried out an announced comprehensive inspection of Killick Street Health Centre on 17 August 2017. We rated the practice as good for providing effective, caring, responsive and well-led services and the overall rating was good. We rated the practice as requires improvement for providing safe services, as we had concerns relating to infection prevention and control issues, safety checks and mandatory training for staff.
We served a requirement notice relating to the practice’s failure to comply with Regulation 12 (Safe care and treatment) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
We also recommended two improvements the practice should make under the key questions of effective and well-led, as follows: Proceed with plans to improve how learning from clinical audits is passed on; Proceed with the planned schedule of reviewing governance protocols and policies.
The full comprehensive report on the August 2017 inspection can be found by selecting the ‘reports’ link for Killick Street Health Centre on our website at http://www.cqc.org.uk/location/1-572907531. After the inspection, the practice sent us a plan of actions it intended to take to ensure it was able to meet the legal requirements under the key question, Safe.
This inspection was a focussed inspection carried out as a desk-based review of evidence we requested from the practice in March 2018, looking at the issues previously identified and to check and confirm that the practice had carried out its plan to meet the legal requirements. We found that the practice had taken appropriate action to meet the requirements of the regulations relating to providing a safe service. Accordingly, we have revised the practice’s rating in respect of providing a safe service to good. The revision of the rating does not effect the ratings given after our previous inspection in August 2017 for the other key questions and the six population groups, which were rated good.
The practice also sent us evidence under the key questions of effective and well-led. We saw minutes of clinical meetings and presentations that confirmed the results and learning from a number of recent clinical audits had been reviewed and discussed. The practice sent us confirmation that the review programme of its governance protocols and policies had proceeded to plan.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice