Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Wayfield Surgery on 15 December 2015. Breaches of the legal requirements were found, in that:

The practice did not have a defibrillator in order to respond to cardiac emergencies. The practice also did not have a risk assessment to show why a defibrillator was deemed not necessary.

As a result, care and treatment was not always provided in a safe and well-led way for patients. Therefore, Requirement Notices were served in relation to the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014: Regulation12 - Safe care and treatment.

Following the comprehensive inspection, the practice wrote to us to tell us what they would do to meet the legal requirements in relation to the breaches and how they would comply with the legal requirements, as set out in the Requirement Notices.

We undertook this desk based inspection on 2 August 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 Wayfield Surgery on our website at www.cqc.org.uk.

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 Wayfield Surgery on 15 December 2015. Overall the practice is rated as good. Specifically, we found the practice to require improvement for providing safe services. It was good for providing effective, caring, responsive and well-led services.

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 for reporting and recording significant events.
• Most risks to patients were assessed and well managed.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance and 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 at the practice premises but not online. However, the practice were planning to develop online services.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and most staff felt supported by management.
• The provider was aware of and complied with the requirements of the Duty of Candour.

However there were areas where the provider should make improvements.

Importantly the provider must:

• Ensure the practice is able to respond to a medical emergency in line with national guidance.

Additionally, the provider should:

• Revise the safeguarding policy to include more information about safeguarding children.

• Review how patients are informed about how to access support groups and organisations, as well as health promotion leaflets.

• Review timescales for implementing a clinical audit program.

• Review timescales for introducing online services.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice