Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr de Lusignan and Partners on 5 April 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the April 2016 inspection can be found by selecting the ‘all reports’ link for Dr de Lusignan and Partners on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 5 July 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 in our previous inspection on 5 April 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as Good.

Our key findings were as follows:

• The required recruitment checks were in place for newly recruited staff.Staff specific inductions were in place.
• Staff had completed training required by the practice including safeguarding vulnerable adults and children, fire safety, infection control and the Mental Capacity Act 2005.
• The practice manager completed a training spreadsheet that recorded staff training dates and this was used to highlight when training needed to be refreshed.
• Equipment had been PAT tested and clinical equipment had been calibrated. There was a system in place for recording when clinical equipment needed to be calibrated. Dates were recorded onto an electronic diary to ensure that annual testing was completed in a timely fashion.

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 Dr de Lusignan and Partners on 5 April 2016. Overall the practice is rated as requires improvement.

Our key findings across all the areas we inspected were as follows:

• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Risks to patients were assessed and well managed, with the exception of those relating to recruitment checks.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment. However we noted that not all staff had received appraisals within the last twelve months or completed training appropriate to their job role.
• Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
• Patients said there were urgent appointments available the same day but they found it difficult to make an appointment with a GP of their choice.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
• The provider was aware of and complied with the requirements of the duty of candour.

The areas where the provider must make improvement are:

• Ensure recruitment arrangements include all necessary employment checks for all staff.
• Ensure a robust system is in place to identify training that is appropriate to job role and that this training is completed by all staff.
• Ensure that a robust system is put in place to ensure all clinical equipment is calibrated at appropriate intervals, including keeping good records of all clinical equipment.

In addition the provider should:

• Review patient access to preferred GPs.
• Ensure a robust system is in place for annual appraisals.
• Continue to review processes to ensure patients with long term conditions receive the best care.

• Continue to monitor and improve patient satisfaction.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice