Letter from the Chief Inspector of General Practice

We carried out a desk based review of the Grovelands Medical Centre on 10 April 2017. We found the practice to be good for providing safe services and it is rated as good overall.

We had previously conducted an announced comprehensive inspection of the practice on 2 June 2016. As a result of our findings during that visit, the practice was rated as good for being effective, caring, responsive and well-led, and requires improvement for providing a safe service, which resulted in a rating of good overall. We found that the provider had breached one regulation of the Health and Social Care Act 2008: Regulation 19 (3) Fit and proper persons employed. You can read the report from our last comprehensive inspection http://www.cqc.org.uk/location/1-547861444/reports. We asked the practice to us to tell us what it would do to make improvements and meet the legal requirements.

We undertook a desk based review on 10 April 2017 to check that the practice had implemented its plan, and to confirm that it had met the legal requirements. This report only covers our findings in relation to those areas where requirements had not been met previously.

Our key findings on 10 April 2017 were as follows:

• The practice had revised their recruitment procedure to include the requirement of pre-employment checks.

• Pre-employment checks had been received for all members of staff.

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 Grovelands Medical Centre on 2 June 2016. Overall the practice is rated as good.

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

• The practice had completed pre-employment checks for all but one employee.
• The vaccines fridge temperature recording showed that the fridge was going above the upper limit (eight degrees Celsius) for storage of vaccines. On raising this with the practice it took immediate steps to rectify the issue. An engineer attended the following day and confirmed that it was a new fridge and he temperature reading had not been properly calibrated. On setting the fridge correctly it showed that it was staying in the correct range (2-8 degrees C).
• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
• Risks to patients were assessed and well managed.
• 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.
• Patients said they found it easy to make an appointment with a GP and there was continuity of care, with urgent appointments available the same day.
• 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 the procedure for all staff recruitment includes undertaking all relevant pre-employment checks as specified in Schedule 3 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

The areas where the provider should make improvement are:

• To revise the practice business continuity plan to ensure it includes all relevant contact details.

• To consider installing a hearing loop to support patients with impaired hearing.

• To consider how to improve access to the Grovelands Road surgery for the benefit of disabled patients and to provide disabled facilities within the surgery.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out a desk based review of the Grovelands Medical Centre on 10 April 2017. We found the practice to be good for providing safe services and it is rated as good overall.

We had previously conducted an announced comprehensive inspection of the practice on 2 June 2016. As a result of our findings during that visit, the practice was rated as good for being effective, caring, responsive and well-led, and requires improvement for providing a safe service, which resulted in a rating of good overall. We found that the provider had breached one regulation of the Health and Social Care Act 2008: Regulation 19 (3) Fit and proper persons employed. You can read the report from our last comprehensive inspection http://www.cqc.org.uk/location/1-547861444/reports. We asked the practice to us to tell us what it would do to make improvements and meet the legal requirements.

We undertook a desk based review on 10 April 2017 to check that the practice had implemented its plan, and to confirm that it had met the legal requirements. This report only covers our findings in relation to those areas where requirements had not been met previously.

Our key findings on 10 April 2017 were as follows:

• The practice had revised their recruitment procedure to include the requirement of pre-employment checks.

• Pre-employment checks had been received for all members of staff.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice