Letter from the Chief Inspector of General Practice

We carried out an announced inspection of this practice on 8 January 2015. Breaches of legal requirements were found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the following legal requirements set out in the Health and Social Care Act (HSCA) 2008:

• Regulation 21 HSCA 2008 (Regulated Activities) Regulations 2010 Requirements relating to workers (which corresponds to Regulation 19 of the HSCA 2008 (Regulated Activities) Regulations 2014);

We undertook this focused inspection to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Oldwell Surgery on our website at www.cqc.org.uk.

Our key findings were as follows:

• The practice had addressed all of the issues identified during the previous inspection.
• Appropriate recruitment checks had been carried out for the most recent members of staff and there were arrangements in place to ensure the GPs and nurses were registered with the relevant professional bodies.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out a comprehensive inspection of Oldwell Surgery on 8 January 2015.

Overall, we rated the practice as good, although there were some areas where the practice should make improvements. Our key findings were as follows:

• Feedback from patients was positive; they told us staff treated them with respect and kindness.
• Patients reported good access to the practice and continuity of care, with urgent appointments available the same day.
• The practice achieved very good results in the most recent national patient survey, many scores were well above national averages.
• Staff reported feeling supported and able to voice any concerns or make suggestions for improvement.
• The practice was visibly clean and tidy.
• The practice learned from incidents and took action to prevent a recurrence.

However, there were also areas of practice where the provider needs to make improvements.

The provider must:

• ensure relevant checks are carried out on staff, in relation to recruitment of new staff and existing staff’s professional registrations.

The provider should:

• undertake a risk assessment and implement procedures for the management and testing of the water supply for the presence of legionella (a type of bacteria found in the environment which can contaminate water systems in buildings).
• take steps to implement a system to show whether the clinicians had read patient safety alerts or taken action where needed.
• implement systems to assess what training is necessary for staff, how this is provided and the frequency, for example, chaperoning and fire safety.
• review arrangements for the storage of medicines.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice