Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Wideopen Medical Centre on 25 August 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the August 2016 inspection can be found by selecting the ‘all reports’ link for Wideopen Medical Centre on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 14 February 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 25 August 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is now rated as good.
Our key findings were as follows:
- The practice had implemented a new infection control policy. Infection control audits had been undertaken at both sites and action plans were in place to address the small number of minor areas identified which required improvement.
- Processes for managing medicines had improved.
- A fire evacuation drill had been carried out at both sites. This was recorded and learning points were documented.
- All clinicians had completed fire safety training.
- New systems had been implemented to check expiry dates for medicines and equipment.
- Improved processes for disseminating patient safety alerts had been implemented
- Managers showed us records which demonstrated that exception rates were very low across all areas of QOF and informed us the records on the NHS database were not reflective of the practice’s own clinical records.
When we last inspected we found the systems in place for arranging home visits were not in line with recent NHS England guidelines (Patient Safety Alert, March 2016). The practice had a system in place to assess whether a home visit was clinically necessary; but there were no formal arrangements to assess the urgency of the need for medical attention during morning clinics.
During this inspection we found improvements had been made. Each morning, one of the GPs had dedicated time to triage all requests for home visits to ensure visits for those patients with more urgent needs were prioritised.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice