Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Stonecross and West Drive Surgery on 23 June 2015. Breaches of the legal requirements were found in relation to:

The management of safety, of infection prevention control, fire risks and the governance of the practice.

Therefore, a Requirement Notice was served under Regulation 17 (Good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014

Following the comprehensive inspection, the practice wrote to us to tell us what they would do to meet the legal requirements in relation to the breaches.

We undertook this focussed inspection on 7 April 2016, to check that the practice had followed their plan and to confirm that they now met the 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 ‘all reports’ link for Stonecross and West Drive Surgery on our website at www.cqc.org.uk.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Stonecross and West Drive Surgery on 23 June 2015. Breaches of the legal requirements were found in relation to:

The management of safety, of infection prevention control, fire risks and the governance of the practice.

Therefore, a Requirement Notice was served under Regulation 17 (Good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014

Following the comprehensive inspection, the practice wrote to us to tell us what they would do to meet the legal requirements in relation to the breaches.

We undertook this focussed inspection on 7 April 2016, to check that the practice had followed their plan and to confirm that they now met the 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 ‘all reports’ link for Stonecross and West Drive Surgery on our website at www.cqc.org.uk.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

We spoke with the practice manager, a practice nurse and three administrative staff, who were clear about their individual roles and responsibilities in relation to safeguarding matters and medicine management.

We found that patients' and people who used the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.

Patients' were protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines.

We found that people’s individual needs were assessed at each visit and care and treatment was planned and delivered to maintain people’s welfare and safety. There were arrangements in place for dealing with foreseeable emergencies.

People were not fully protected from abuse because of a lack of training for staff and a lack of awareness of their roles and responsibilities in relation to abuse.

People were protected against the risks associated with infection because appropriate procedures were followed by the staff.

Medicines were not always kept safely, and the processes to ensure the security of medicines and prescription pads had not been risk assessed.

There were robust and effective systems for assessing and monitoring the quality of the service.