Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection of the practice on 24 February 2016. Breaches of legal requirements were found. After the comprehensive inspection, the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of regulation 17(1) and 17(2) (b) and (c) (Good Governance) and Regulation 18(2) (a) (Staffing) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
We undertook this desk-based focussed inspection on 2 November 2016 to check that the practice had followed their plan and to confirm that they now met the legal requirements. This report covers our findings in relation to those requirements and also where additional improvements have been made following the initial inspection. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Pickhurst Surgery on our website at www.cqc.org.uk.
Overall the practice is rated as Good. Specifically, following the focussed inspection we found the practice to be good for providing safe services.
Our key findings across all the areas we inspected were as follows:
- Risks to patients were assessed and well-managed, including those related to safeguarding, chaperoning, fire safety and storage of patient records.
There were areas of the practice the provider should make improvements:
- Review the arrangements for the all the actions from legionella risk assessment are undertaken in a timely manner.
- Review the arrangements for the monitoring of diabetes for patients.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice