Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of this practice on 2 December 2015. Breaches of legal requirements were found. After the comprehensive inspection, the practice wrote to us to say what they would do to meet legal requirements in relation to the regulatory breaches of the Health and Social Care Act 2008 (Regulated Activities) 2014 Regulation 12 Safe Care and Treatment.

We carried out a focused inspection on 14 November 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 the 'all reports' link for The Crookes Medical Practice on our website at www.cqc.org.uk.

Overall the practice is rated as good. Specifically, following the focused inspection we found the practice to be good for providing safe services.

Our key findings across all the areas we inspected were as follows:

• Vaccine refrigerators were appropriately stocked allowing air to circulate between the products.

• We saw evidence that the minimum and maximum refrigerator temperatures had been recorded on a daily basis and was within the recommended range of between 2 to 8c. The practice had followed Public Health England Protocol for the storing of vaccines.

• We reviewed the most recent staff recruitment file and observed that the practice had ensured that recruitment arrangements included the necessary Disclosure and Barring checks.
• Emergency drugs and equipment including oxygen, defibrillator, syringes and venflons were checked and in

  found to be up to date.

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 the Crookes Practice in Sheffield on 2 December 2015. 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 an effective system in place for reporting and recording significant events.
• Risks to patients were assessed and well managed, with the exception of recruitment checks.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Information about services and how to complain was available and to they had developed a easy to understand complaints leaflet.
• Patients said they found it easy to make an appointment with a named 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 and complied with the requirements of the Duty of Candour.

The areas where the provider must make improvements are:

• The practice must ensure recruitment arrangements include the necessary Disclosure and Barring checks and gain an understanding of the Disclosure and Barring service update service.

• All equipment must be checked and up to date, for example venflons and blood glucose machine.

• All fridges which are used to store medications must be checked to ensure the correct temperature regulation is maintained and to avoid over-storage of products.

• Professor Steve Field (CBE FRCP FFPH FRCGP) 

  Chief Inspector of General Practice