Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Young & Partners on 6 July 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the 6 July 2016 inspection can be found by selecting the ‘all reports’ link for Dr Young & Partners on our website at www.cqc.org.uk.

This inspection was an announced desk-based review carried out on 3 March 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 comprehensive inspection. 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:

• GPs had completed safeguarding vulnerable adults training.

• Systems were in place to ensure equipment is prepared in line with current guidelines before use.

• Actions had been taken to ensure the security of prescription forms in printers when consulting and treatment rooms are not in use.

• The practice had introduced systems and processes to ensure patient safety alerts are actioned and actions taken are clearly documented.

• Systems and processes to ensure all staff received an annual appraisal had been reviewed.

• A programme of clinical audits has been introduced, and there are systems in place to implement and monitor actions to improve patient outcomes.

At our previous inspection on 6 July 2016, we told the provider that they should:

• Review their systems and processes for checking emergency medicines and equipment.

• Ensure all staff receive infection control and prevention training appropriate to their role.

On this inspection on the 3 March 2017, the provider sent us information on their reviewed systems and processes for checking the emergency medicines and equipment. We were also sent information to show that all staff had attended infection prevention and control training.

We have changed the rating for this practice to reflect these changes. The practice is now rated good for the provision of safe, effective, caring, responsive and well led 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 Dr Young & Partners on 6 July 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.
• Although risks to patients who used services were assessed, the systems and processes to address these risks were not implemented well enough to ensure patients were kept safe.
• 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.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• 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.
• Most patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear 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 all GPs have completed safeguarding adults training.

• Ensure that all equipment is prepared in line with current guidelines before use.

• Ensure the security of prescription forms in printers when consulting and treatment rooms are unattended.

• Ensure patient safety alerts are actioned and the actions taken are clearly documented.

• Ensure all staff have received an appraisal in the last 12 months.

• Establish and operate effective audit and governance systems to evaluate and improve practice.This is in respect of having a programme of clinical audits and re-audits to demonstrate improved patient outcomes.

The areas where the provider should make improvement are:

• Ensure systems and processes around the checking of emergency medicines and equipment are effective.

• Ensure all staff have received infection control and prevention training appropriate to their role.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice