Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Walsgrave Health Centre on 25 August 2016. As a result of our inspection the practice was rated as good overall but required improvement for providing effective services. The full comprehensive report on the August 2016 inspection can be found by selecting the ‘all reports’ link for Walsgrave Health Centre on our website at www.cqc.org.uk.

This inspection was a desk-based focused inspection carried out on 25 July 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection on 25 August 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is rated as good.

Our key findings were as follows:

• Nurses had undertaken training in the Mental Capacity Act 2005.
• A formal training programme had been introduced for staff, which included infection control, chaperone training and safeguarding for non-clinical staff.
• We viewed the schedule of the monthly practice staff meetings and noted that these meetings were formally documented.
• Clinical meetings were now held regularly and formally documented.
• All staff had signed a document to confirm that they were aware of the business continuity plan and its location in the practice.

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 Walsgrave Health Centre on 25 August 2016. 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. These included staff recruitment procedures, health and safety precautions, ensuring sufficient staffing in place to meet patient needs and adequate medical equipment if a patient presented with an emergency.
• GPs assessed patients’ needs and delivered care in line with current evidence based guidance. We found areas where further training was required for other staff. This included nurses undertaking training in the Mental Capacity Act 2005. Aspects of the general training programme for staff also required strengthening.
• Patient feedback we reviewed showed patients were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment. National patient survey data showed that patients consistently rated the services provided highly.
• 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. This included access for disabled patients and a breast feeding room for new mothers.
• 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 area where the provider must make improvements are:

• Persons employed must receive appropriate training as necessary to enable them to carry out the duties they are employed to perform. This includes training of nursing staff in the Mental Capacity Act 2005 and the implementation of a formal training programme for staff to include: infection control, chaperone training and safeguarding for non clinical staff.

The areas where the provider should make improvements are:

• Improve systems regarding the structure of staff meetings and document recording of them.

• Ensure all staff are aware of business continuity arrangements that are in place.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice