We carried out an announced comprehensive inspection of OHP-Dr EJ Wigley & Partners on 13 February 2019.

The practice was previously inspected under the previous provider in September 2016 and was rated Good overall.

During this inspection in February 2019, we based our judgement of the quality of care at this service on a combination of:

• what we found when we inspected
• information from our ongoing monitoring of data about services and
• information from the provider, patients, the public and other organisations.

We have rated this practice as Good overall and Good for all population groups.

We rated the practice as requires improvement for providing safe services because:

• We found not all patients on high risk medicines were monitored according to guidelines.
• We found not all GPs had completed required infection prevention and control training in line with the practice’s training policy.
• We found weaknesses in the management of some staff information and risk assessments relating to the premises.
• We found the practice were carrying out minor surgery, however they were not registered with CQC for this regulated activity. The CCG confirmed the practice had stopped this activity with immediate effect until they had the proper authorisation.

We rated the practice as good for providing effective, caring, responsive and well-led services because:

• There was clear evidence of learning following significant events across the practice.
• The practice involved and engaged with the PPG to improve services for patients.
• The practice communicated with health professionals in external services to ensure better outcomes for patients.
• The practice had a dedicated staff member in charge of producing and updating information for carers.
• The practice had recognised that patient satisfaction with telephone access was poor and had developed an appropriate action plan to try and improve services.
• GPs working at the practice met daily each morning to discuss complex patients and share workload including home visits.
• The clinical staff met monthly for education training sessions to keep updated on new guidelines or learning following audits.

The areas where the provider should make improvements are:

• The practice should continue to ensure high risk medicines are being appropriately managed.
• The practice should consider improving its management of information to allow more effective monitoring, for example staff files and training records, patient satisfaction information, and risk assessments in relation to equality access and premises.
• The practice should continue to review and identify ways for improving uptake of cancer screening and child immunisations.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth

BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care