Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr Momosir Ali on 22 February 2016. The full comprehensive report on the February 2016 inspection can be found by selecting the ‘all reports’ link for Dr Momosir Ali on our website at www.cqc.org.uk.
At our previous inspection in February 2016 we rated the practice as ‘good’ overall but as ‘requires improvement’ for safety as we identified three breaches of regulation. This was because improvements were needed to; the staff recruitment procedures, to staff training and to make information about the complaints process available to patients.
This inspection visit was carried out on 3 March 2017 to confirm that the provider had carried out their plan to meet the legal requirements in relation to the breaches. This report covers our findings in relation to that and additional improvements made since our last inspection.
The findings of this inspection were that the provider had taken action to meet the requirements of the last inspection and the service is now rated as ‘good’ for providing safe services. Our key findings were as follows:
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Pre-employment checks for new staff were carried out in line with requirements.
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Staff had been provided with the training they required for their roles and responsibilities. This included the provision of training, since our last inspection, in topics such as: health and safety, fire safety, infection control, safeguarding and the Mental Capacity Act 2015 and Deprivation of Liberty Safeguards (DoLS).
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Information about how to make a complaint was readily available for patients to access.
We also found that the provider had made a number of improvements to the service in response to recommendations we made at our last inspection. These included;
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A process had been introduced to share the learning from significant events. This included significant events being discussed at regular staff meetings.
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A system had been introduced to account for and securely store blank prescriptions.
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Action had been taken to ensure that all Patient Group Directions (written directives for the administration of medicines to a pre-defined group of patients without them having to see a prescriber directly) had been appropriately authorised by a GP.
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A supply of oxygen had been obtained for supporting patients in a medical emergency.
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All referrals to secondary care were now made electronically thereby reducing the margin for error in the referrals process.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice