Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Royton Medical Centre on 19 May 2017. The overall rating for the practice was good, with a rating of requires improvement in the safe domain. The full comprehensive report on the May 2017 inspection can be found by selecting the ‘all reports’ link for Royton Medical Centre on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 5 October 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach of regulation that we identified in our previous inspection on 19 May 2017. This report covers our findings in relation to those requirements. We also looked at the areas we suggested improvements should be made.

The practice is now rated as good for providing safe services, with the overall rating remaining as good.

Our key findings were as follows:

• There was a robust recruitment process and all required information for staff was held.

• All relevant information for locum staff was provided prior to them working at the practice.

• A system was in place to ensure all significant events were formally reviewed, with improvements being monitored.

• All Patient Group Directions (PGDs) had been reviewed and there was a system in place to ensure they were all up to date.

• There was a health and safty folder documenting all health and safety checks carried out by the practice.

• There was a system where all training, on-line and face to face, was recorded and monitored.

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 Royton Medical Centre on 19 May 2017. 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 a system in place for reporting and recording significant events.
• The practice had clearly defined and embedded systems to minimise risks to patient safety, with the exception of some recruitment processes.
• Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
• Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
• Information about services and how to complain was available.
• Patients we spoke with said they usually found it easy to make an appointment with a 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 the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.

The areas where the provider must make improvement are:

• The provider must ensure that all appropriate recruitment procedures are carried out prior to a new staff member starting work.

In addition the areas where the provider should make improvements are:

• The provider should formally review significant events to ensure improvements have been made.

• The provider should review their patient group directions (PGDs) to make sure all relevant parts are completed.

• The provider should formalise the health and safety checks they carry out.

• The provider should have a system where all training can be recorded and monitored.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice