Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Walkley House Medical Centre on 7 September 2016. The overall rating for the practice was good with requires improvement for the ‘safe’ domain. The full comprehensive report on the 7 September 2016 inspection can be found by selecting the ‘all reports’ link for Walkley House Medical Centre on our website at www.cqc.org.uk.

This inspection was an announced desktop inspection carried out on Wednesday 12 April 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 7 September 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good.

Our key findings were as follows:

• We saw evidence that the practice had carried out fire risk assessments at both the main and the branch surgery.
• We noted that actions had been reviewed and completed from the legionella risk assessment.
• An infection prevention and control audit had been carried out at the branch surgery.
• We saw evidence that blank prescriptions were tracked through the practice and complied with NHS Protect Security of prescription forms guidance 2013.

• We saw photographic evidence that the storage arrangements for patient records had been reviewed and they were locked and stored in a safe place.
• The Parliamentary Health Service Ombudsman details had been added to the practice complaints response sheet.

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 Walkley House Medical Centre on 7 September 2016. Overall the practice is rated as good.

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

• There was an effective system in place for reporting and recording significant events.

• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with 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 easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
• 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.
• Some risks to patients were assessed and well managed. However, the practice had not carried out fire risk assessments; actions arising from the legionella risk assessment had not been reviewed; the branch surgery did not have an infection prevention and control audit and blank prescriptions were not tracked through the practice.

• On the day of inspection we observed some patient records were not stored in locked units.

The areas where the provider must make improvement are:

• Carry out fire risk assessments at both the main and branch surgery.
• Review actions from the legionella risk assessment.
• Undertake an infection prevention and control audit at the branch surgery

• Ensure blank prescriptions are tracked through the practice to comply with NHS Protect Security of prescription forms guidance (Updated August 2013).

The areas where the provider should make improvement are:

• Ensure that all

    Review the storage arrangements of

  for

  patient records.

  are kept in locked storage unit

  s

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice