Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Drs. Wigmore and Kari on 10 May 2016. The overall rating for the practice was good, although the practice was rated as requires improvement for safety. The full comprehensive report on the May 2016 inspection can be found by selecting the ‘all reports’ link for Drs. Wigmore and Kari on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 31 July 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulation that we identified in our previous inspection on 10 May 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

The practice is now rated as good for safe services, and overall the practice is rated as good.

Our key findings were as follows:

• The practice had taken action to address the concerns raised at the CQC inspection in May 2016. They had put measures in place to ensure they were compliant with regulations.
• Appropriate arrangements were now in place for undertaking suitable pre-employment checks.
• The practice had a pre-employment checklist to ensure references were obtained for permanent and locum GPs and relevant qualifications were checked.
• Recommendations made at the previous inspection, such as infection control audits to be carried out more regularly, had been actioned.

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 Drs. Wigmore and Kari on 10 May 2016. The overall rating for the practice was good, although the practice was rated as requires improvement for safety. The full comprehensive report on the May 2016 inspection can be found by selecting the ‘all reports’ link for Drs. Wigmore and Kari on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 31 July 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulation that we identified in our previous inspection on 10 May 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

The practice is now rated as good for safe services, and overall the practice is rated as good.

Our key findings were as follows:

• The practice had taken action to address the concerns raised at the CQC inspection in May 2016. They had put measures in place to ensure they were compliant with regulations.
• Appropriate arrangements were now in place for undertaking suitable pre-employment checks.
• The practice had a pre-employment checklist to ensure references were obtained for permanent and locum GPs and relevant qualifications were checked.
• Recommendations made at the previous inspection, such as infection control audits to be carried out more regularly, had been actioned.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

The practice declared non compliance against regulations 9, 14 and 15 on registration. We inspected the practice at this time to see if they were now compliant with the regulations.

There was a practice leaflet and a practice web site which included information regarding the services that were provided in the practice, how to access out of hours care, confidentiality, access to the building and informed patients how they could complain if they wished. The surgery waiting room was set up in such a way to give a patient as much privacy as possible when talking to staff at reception. One patient we spoke to told us that, “I find the practice helpful and informative.” All of the patients we spoke with confirmed that they felt confident that the doctor understood their condition.

All of the people we spoke with told us that staff always asked for consent before they undertook any treatment or procedure. The practice had a ‘buddy’ system between the GP’s. This ensured that there was an element of continuity in care if the GP they were registered with was on leave. One patient we spoke with told us; “It is always very easy to get an appointment when you need one.” The practice participated in the Quality and Outcomes Framework (QoF) system which is an incentive scheme for GP practices in the UK, which rewards practices for the provision of 'quality care'.