The Charnwood Practice, 1 Spinney Hill Road, Leicester.
The Charnwood Practice in 1 Spinney Hill Road, Leicester is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, family planning services, maternity and midwifery services, services for everyone, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 9th August 2016
The Charnwood Practice is managed by The Charnwood Practice.
Contact Details:
Address:
The Charnwood Practice Merlyn Vaz Health Centre 1 Spinney Hill Road Leicester LE5 3GH United Kingdom
Letter from the Chief Inspector of General Practice
We carried out an unannounced focused inspection on 28 June 2016 to follow up concerns we found at The Charnwood Practice on 10 February 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
The significant event policy had been reviewed to ensure the process to identify and investigate incidents and significants events was robust.
A safety alert log recorded all safety and medicine alerts and whether it was applicable to the practice.
The practice had devised a list of minimum content for a doctors’ bag and ensured processes were in place to review the contents of a bag and equipment was calibrated.
A defibrillator had been purchased by the practice following completion of a risk assessment.
A risk assessment had been completed to review the appropriate emergency medicines required to stock on the premises.
The practice had developed the training matrix to add the appraisal and revalidation dates for GPs and nurses.
An audit plan had been developed to ensure the findings from clinical audits were reviewed and re-audited.
The practice had signed up for NICE guidelines for primary care to be sent directly to all GPs and nurses and ensured they were discussed at the clinical meetings.
The governance process had been strengthened to ensure all risks had been identified, reviewed and actions taken to mitigate risk.
The complaints process had been strengthened to ensure themes and trends could be identified, including informal complaints.
We carried out an unannounced focused inspection on 28 June 2016 to follow up concerns we found at The Charnwood Practice on 10 February 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
The significant event policy had been reviewed to ensure the process to identify and investigate incidents and significants events was robust.
A safety alert log recorded all safety and medicine alerts and whether it was applicable to the practice.
The practice had devised a list of minimum content for a doctors’ bag and ensured processes were in place to review the contents of a bag and equipment was calibrated.
A defibrillator had been purchased by the practice following completion of a risk assessment.
A risk assessment had been completed to review the appropriate emergency medicines required to stock on the premises.
The practice had developed the training matrix to add the appraisal and revalidation dates for GPs and nurses.
An audit plan had been developed to ensure the findings from clinical audits were reviewed and re-audited.
The practice had signed up for NICE guidelines for primary care to be sent directly to all GPs and nurses and ensured they were discussed at the clinical meetings.
The governance process had been strengthened to ensure all risks had been identified, reviewed and actions taken to mitigate risk.
The complaints process had been strengthened to ensure themes and trends could be identified, including informal complaints.
Letter from the Chief Inspector of General Practice
We carried out an unannounced focused inspection on 28 June 2016 to follow up concerns we found at The Charnwood Practice on 10 February 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
The significant event policy had been reviewed to ensure the process to identify and investigate incidents and significants events was robust.
A safety alert log recorded all safety and medicine alerts and whether it was applicable to the practice.
The practice had devised a list of minimum content for a doctors’ bag and ensured processes were in place to review the contents of a bag and equipment was calibrated.
A defibrillator had been purchased by the practice following completion of a risk assessment.
A risk assessment had been completed to review the appropriate emergency medicines required to stock on the premises.
The practice had developed the training matrix to add the appraisal and revalidation dates for GPs and nurses.
An audit plan had been developed to ensure the findings from clinical audits were reviewed and re-audited.
The practice had signed up for NICE guidelines for primary care to be sent directly to all GPs and nurses and ensured they were discussed at the clinical meetings.
The governance process had been strengthened to ensure all risks had been identified, reviewed and actions taken to mitigate risk.
The complaints process had been strengthened to ensure themes and trends could be identified, including informal complaints.
We carried out an unannounced focused inspection on 28 June 2016 to follow up concerns we found at The Charnwood Practice on 10 February 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
The significant event policy had been reviewed to ensure the process to identify and investigate incidents and significants events was robust.
A safety alert log recorded all safety and medicine alerts and whether it was applicable to the practice.
The practice had devised a list of minimum content for a doctors’ bag and ensured processes were in place to review the contents of a bag and equipment was calibrated.
A defibrillator had been purchased by the practice following completion of a risk assessment.
A risk assessment had been completed to review the appropriate emergency medicines required to stock on the premises.
The practice had developed the training matrix to add the appraisal and revalidation dates for GPs and nurses.
An audit plan had been developed to ensure the findings from clinical audits were reviewed and re-audited.
The practice had signed up for NICE guidelines for primary care to be sent directly to all GPs and nurses and ensured they were discussed at the clinical meetings.
The governance process had been strengthened to ensure all risks had been identified, reviewed and actions taken to mitigate risk.
The complaints process had been strengthened to ensure themes and trends could be identified, including informal complaints.
This inspection was carried out to see if improvements had been made following our inspection of 27 February 2014. During this inspection, we spoke with the practice manager and one member of staff. We did not speak with patients using the service.
The provider had audits in place for infection prevention and control systems, cleanliness of premises and monitoring storage of clinical equipment. There were systems in place to ensure the practice was kept clean and the standard of the cleanliness was regularly monitored. We found the provider had considered any risks within the practice and was addressing these.
We spoke with four patients and five staff. All patients spoke highly regarding their care provided by the staff. We found patients gave written consent prior to procedures being performed and the procedure was explained in full. One patient told us, "The doctor explained the discharge letter given to me by the hospital and talked it through until I understood." Patients told us they were listened to carefully and were involved in decisions about their care and treatment. We found most staff were well trained and supported to provide care and treatment to patients. One patient told us, "I would like to sing the praises of them (the doctors) they provide a great service." We found staff understood the signs and risks around protecting patients from harm. One patient told us they "felt safe" at the practice to talk freely to staff. Complainants had their concerns fully and properly considered. We saw information about the Patients Participation Group (PPG) displayed in the patient information leaflet and they held regular meetings. One of the PPG members told us they had assisted in introducing the new phone system and had acted as a "secret shopper" to ensure the phone system worked properly. The practice did not have audits in place for infection prevention and control practices, cleanliness of premises, and monitoring storage of clinical equipment.
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