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Care Quality Commission

The Care Quality Commission (CQC) are the independent regulator of health and adult social care in England.

The CQC make sure health and social care services provide people with safe, effective, compassionate, high-quality care and encourage them to improve.

They monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety and publish what is found, including performance ratings to help people choose care.

Our GP Practice has recently undergone a CQC inspection and the results are now freely available on the CQC Website.  You can access the report below


Our Report

We are extremely proud to have been rated an overall Good in our recent CQC inspection and would like to thank all of our staff for their hard work, our Patient Participation Group members, who met with the CQC on the day and our patients, some of whom filled in feedback cards prior to the visit and others who spoke to the inspectors on the day. The feedback was very positive and supported the Inspectors findings on the day and in the data they review on us before, during and after the visit to form their judgement.

As the new practice manager, receiving notice of the inspection in my fifth week in post was a little daunting; however, many of the team here have been together for some time and had been preparing for the visit long before my arrival. Everyone pulled together to make sure we were as ready as we could be for the visit on 20 April. My predecessor Philip Amps had worked tirelessly to make sure processes and procedures were robust and policies were in place to cover all of the key work that we do as a health care provider and all other legislation such as employment law, health and safety at work etc..

We were disappointed in ourselves that we had not completed some of the actions relating to legionella risk, but would like to assure you that we had been working with contractors and our landlords to improve the position and that since the report we have either completed or have planned the completion of all of those actions within our control and continue to work with our landlords at our Woodley site to ensure that risks are reduced and greater control over our systems are achieved and then maintained. Checks made since April have shown that we are operating in a safe environment and had we correctly checked and recorded this we would have been able to demonstrate this more clearly to the Inspectors. That said, we accept the findings and would again like to assure you that we are working on this and hope to have fully actioned this within the next three months. We are required to report our progress to CQC and have committed to doing so.

There are many more positives which are shown in the report (link can be found below) and I would hope that you take the time to read through this to see this for yourself.

Thank you again to everyone who contributed to our inspection and a huge thank you to our patients who have shown their appreciation and support for us. We are not perfect, but we strive to maintain patient centred medical and nursing services as the NHS continues to enter a new chapter in its history.


Shaun Nicholson

Practice Manager

July 2016

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