Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Claverley Medical Practice on 12 November 2015. A total of three breaches of legal requirements were found. After the focussed inspection, the practice was rated as requires improvement for being safe.

We issued requirement notices in relation to:

• Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) 2014 Safe care and treatment.

• Regulation 19 HSCA (RA) Regulations 2014 Fit and proper persons employed

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Claverley Medical Practice on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 12 January 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified at our previous inspection on 12 November 2015. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection

Our key findings were as follows:

• Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses.

• Risks to patients were assessed and well managed. The practice had improved its procedures to ensure appropriate recruitment checks had been completed.

• Ongoing audits were driving improvement in performance to improve patient outcomes.

• Patients’ needs were assessed and care was planned, and best practice guidance was followed.

• Procedures had been reviewed and systems introduced to ensure the safe management of medicine practices, which included effective procedures to monitor patients prescribed high risk medicines.

• Infection control audits had been completed and facilities improved to reflect nationally recognised guidance.

• Improvements had been made to protect patient confidentiality at the practice branch site.

• There was a clear leadership structure and staff felt supported by the management.

• The practice proactively sought feedback from patients.

• The provider was aware of and complied with the requirements of the Duty of Candour.

At our previous inspection on 12 November 2015, we rated the practice as requires improvement for providing safe services. At this inspection we found that the practice had resolved all the concerns raised and is now rated as good for providing safe services.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Claverley Medical Practice on 12 November 2015. A total of three breaches of legal requirements were found. After the focussed inspection, the practice was rated as requires improvement for being safe.

We issued requirement notices in relation to:

• Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) 2014 Safe care and treatment.

• Regulation 19 HSCA (RA) Regulations 2014 Fit and proper persons employed

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Claverley Medical Practice on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 12 January 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified at our previous inspection on 12 November 2015. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection

Our key findings were as follows:

• Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses.

• Risks to patients were assessed and well managed. The practice had improved its procedures to ensure appropriate recruitment checks had been completed.

• Ongoing audits were driving improvement in performance to improve patient outcomes.

• Patients’ needs were assessed and care was planned, and best practice guidance was followed.

• Procedures had been reviewed and systems introduced to ensure the safe management of medicine practices, which included effective procedures to monitor patients prescribed high risk medicines.

• Infection control audits had been completed and facilities improved to reflect nationally recognised guidance.

• Improvements had been made to protect patient confidentiality at the practice branch site.

• There was a clear leadership structure and staff felt supported by the management.

• The practice proactively sought feedback from patients.

• The provider was aware of and complied with the requirements of the Duty of Candour.

At our previous inspection on 12 November 2015, we rated the practice as requires improvement for providing safe services. At this inspection we found that the practice had resolved all the concerns raised and is now rated as good for providing safe services.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

We spoke with six patients during our inspection. Most patients we spoke with were complimentary about the service they received at the practice. They told us that the doctors were, “Very very good”, that the receptionists were, “Delightful” and that, “Everyone always smiles”. Some patients told us that it was not always easy to get an appointment when they wanted one.

We saw that the practice had procedures in place to help protect patients’ privacy and dignity. The staff we spoke with were familiar with the procedures. None of the patients we spoke with had any concerns in this area.

We found that care and treatment was planned and delivered in a way that met patients’ needs and protected their rights. Patients were able to be involved in decisions about their treatment.

We found that medicines kept in the practice were stored in a safe and secure way. The staff regularly checked the medicines to ensure that they remained in date.

We were not satisfied that the provider made all the appropriate checks on staff before their full employment started. The practice manager regularly checked to ensure that healthcare professionals employed at the practice were correctly registered with their appropriate professional body.

We saw that the practice carried out a range of audits on a regular basis to monitor the quality of its own performance and to learn from any mistakes made. The practice had an active and effective patient participation group.