Letter from the Chief Inspector of General Practice

The practice is rated good overall and good for providing safe services.

We carried out an announced comprehensive inspection of this practice on 26 January 2016. The overall rating for the practice was good. However, a breach of legal requirements was found during that inspection within the safe domain. After the comprehensive inspection, the practice sent us evidence and actions detailing what they would do to meet the legal requirements. We conducted a focused inspection on 4 May 2017 to check that the provider had followed their plans and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements.

During our previous inspection on 22 January 2016 we found the following area where the practice must improve:

• Ensure 

  recruitment 

  arrangements 

  include 

  all 

  necessar

  y pre-employment 

  checks 

  for 

  all 

  staff.

Our previous report also highlighted the following areas where the practice should improve:

• Carry out further clinical audits and re-audits to improve the quality of patient outcomes.

• Implement a system to monitor use of prescription pads. 

• Ensure Patient Group Directives (PGDs) and Patient Specific Directives (PSDs) are consistently authorised.
• Ensure all staff receive annual (BLS) training in Basic Life Support.
• Ensure Legionella water testing is carried out regularly and regular fire drills are undertaken. 

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

During the inspection on 4 May 2017 we found:

• Arrangements were in place

  include 

  all necessary 

  pre-employment 

  checks 

  for 

  all 

  staff.

• The practice had undertaken several completed audits that improved patient outcomes.

• Effective systems were in place to monitor the use of prescription pads.

• All staff had received annual Basic Life Support (BLS) training.

• Staff had conducted 

  regular fire drills and Legionella water testing had been undertaken.

​

​

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 the Leytonstone Medical Centre on 26 January 2016. Overall the practice is rated as good.

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.
• Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses.
• Risks to patients were mostly assessed and well managed however Legionella water testing and fire drills had not been carried out (Legionella is a term for a particular bacterium which can contaminate water systems in buildings).

• Recruitment checks were not comprehensive in all cases.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had 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.
• Patients generally said they found it easy to make an appointment with a named GP and that there was continuity of care with urgent appointments available the same day, however some had expressed difficulty in getting through on the telephone.
• The practice generally had good facilities and was 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 recruitment arrangements include all necessary pre-employment checks for all staff.

The areas where the provider should make improvement are:

• Carry out further clinical audits and re-audits to improve the quality of patient outcomes.
• Implement a system to monitor use of prescription pads.
• Ensure Patient Group Directives (PGDs) and Patient Specific Directives (PSDs) are consistently authorised.
• Ensure all staff receive annual training in Basic Life Support (BLS) training.
• Ensure Legionella water testing is carried out regularly and regular fire drills are undertaken.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice