Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Whiteparish Surgery on 12 January 2016. The practice breached regulations for safe, effective, responsive and well-led services and as a result, the overall rating for the practice was requires improvement. The full comprehensive report on the 12 January 2016 inspection can be found by selecting the ‘all reports’ link for Whiteparish Surgery on our website at www.cqc.org.uk.

Following the inspection the provider sent us an action plan that set out the actions they would take to meet the breached regulations. A focused desk-top inspection was then undertaken on 20 October 2016 to check the practice was meeting the regulations previously breached. For this reason we only rated the location for the key questions to which this inspection related.

We found the practice had made improvements since our inspection on 12 January 2016. The information we received enabled us to find the practice was meeting the regulations that it had previously breached for safe, effective and responsive services. However, due to an oversight on our part this inspection did not look to see if the practice was meeting the regulations for being well-led that it had previously breached. When we realised our error we arranged a second focused desk-top inspection to look at the outstanding issues which were:

• The practice did not have an adequate governance framework to support the delivery of the strategy and good quality care. We found a range of issues which would have been identified by the practice if their governance arrangements had been more robust. For example, the governance structure had not identified the lack of fire and safeguarding training, the lack of adequate prescription security and that fire alarm tests where not conducted.
• The programme of internal audit which was used to monitor quality and to make improvements had some gaps. For example, we did not see evidence of auditing of controlled medicines management or dispensing errors.
• Not all staff were aware of the legislation regarding the Duty of Candour.

This report covers the second focused desk-top inspection undertaken on 4 December 2017 to check the practice was meeting the regulation. We have changed the rating for this practice to reflect these changes. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection. The practice is now rated good for the provision of well-led services.

Our key findings were as follows:

• All staff had completed approved on-line fire training and fire alarm tests were conducted.
• The practice had adequate prescription security.
• There was evidence of auditing of controlled medicines management or dispensing errors.
• All staff had completed approved online safeguarding training.
• All staff were aware of legislation concerning the Duty of Candour.

Overall the practice continues to be rated as Good.

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

Whiteparish Surgery on 12 January 2016. Overall the practice is rated as requires improvement.

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.

• 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.

• Information about services and how to complain was available and easy to understand.

• The practice had good facilities and was well equipped to treat patients and meet their needs.

• The practice worked with other professionals in a compassionate, holistic and multi-disciplinary manner to provide patients with high and complex needs the care they required.

• There was a clear leadership structure and staff felt supported by management.

  The practice arranged a Saturday coffee morning twice a year for carers and had achieved a local charity’s Gold Plus Carer’s Award for the last two years. The practice usually arranged for a speaker to attend the coffee mornings.

• The practice offered a home delivery service of dispensed medicines to some areas twice a week and delivered to seven remote collection points (such as a shop) where patients could pick up their medication.

• The GPs gave health related talks at community meetings organised by the patients participation group.

However there were some areas of practice where the provider must make improvements:

• The practice must ensure that all staff have safeguarding training appropriate to their role.

• The practice must ensure the fire alarm is serviced regularly and all staff receive fire training that is updated annually.

• Ensure that information about how to complain is easily available and there is a system in place to review complaints

  .

• Improve the security of their prescription processes to include prescription pads for hand written prescriptions.

In addition there were a number of areas where the practice should make improvements. The practice should:

• Review its arrangements for the security of controlled drug keys.

• Review its procedures for the handling of medicines, ensure there is a written procedure for all medicine related processes and ensure adequate monitoring of dispensary processes is carried out.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

When we visited Whiteparish Surgery on 12 January 2016 to carry out a comprehensive inspection, we found, the practice had breached regulations relating to safe care and 

treatment, safeguarding service users from abuse and improper treatment, receiving and 

acting on complaints, and good governance. The practice was rated as requires improvement for safe, effective and responsive and good for caring and well led. Overall the practice was rated as requires improvement.

Following the inspection the provider sent us an action plan that set out the actions they would take to meet the breached regulations.

This focused desk top inspection was undertaken on  20 October 2016 to check the practice was meeting the regulations previously breached. For this reason we have only rated the location for the key questions to which this inspection related. This report should be read in conjunction with the full inspection report of our inspection in January 2016. You can read the report from our last comprehensive inspection by selecting the 'all reports' link for Whiteparish Surgery on our website at www.cqc.org.uk.

We found the practice had made improvements since our last inspection. The information we received enabled us to find the practice was meeting the regulations that it had previously breached.

We have changed the rating for this practice to reflect these changes. The practice is now rated good for the provision of safe, effective, caring, responsive and well led services.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice