18 May 2017
During an inspection looking at part of the service
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at St Luke’s on 9 February 2016. The overall rating for the practice was Good. The full comprehensive report on the February 2016 inspection can be found by selecting the ‘all reports’ link for St Luke’s on our website at www.cqc.org.uk.
At our previous inspection on 9 February 2016, we rated the practice as requires improvement for providing safe services as the practice had no health and safety risk assessment in place. In addition, we found that the practice had not conducted regular Legionella or fire safety checks, and that premises and medical equipment cleaning had not been undertaken.
This inspection was an announced focused inspection carried out on 18 May 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 9 February 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection. At this inspection, we found that the practice had put in place a system to conduct regular Legionella and fire safety checks and had conducted a recent health and safety assessment. In addition, we found that the practice had implemented a cleaning schedule for the premises and for medical equipment. As a result of these findings, the practice rating remains as Good overall.
Our key findings were as follows:
- The practice had put in place a system of processes and practices to keep patients and staff safe. For example, the practice evidenced that fire safety and Legionella checks were now being conducted and that a schedule of cleaning for the premises and medical equipment was in place.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice