Source · CQC inspection
GP Out of Hours Service - Countess of Chester Health Park
Provider Cheshire and Wirral Partnership NHS Foundation Trust
Type NHS Healthcare Organisation
Region North West
Last inspected 2 Oct 2018
Overall rating: Good View full CQC report
Domain ratings
Safe
Good
Effective
Good
Caring
Good
Responsive
Good
Well-led
Good
Earlier inspection findings
Should-do actions (11)
Should-do action 1 of 11
Should do
Safe
Review the training plan to include chaperone training for those non-clinical staff who undertake chaperone duties.
Should-do action 2 of 11
Should do
Safe
Continue to monitor the streaming criteria and protocols to ensure appropriate streaming to GP out of hours is taking place and that full and accurate information is documented and received by the out of hours service.
Should-do action 3 of 11
Should do
Responsive
Continue to review clinical staffing level and recruitment in order to meet patient needs and service demands.
Should-do action 4 of 11
Should do
Safe
Review the system for documenting action taken in response to safety alerts.
Should-do action 5 of 11
Should do
Safe
Continue to plan and carry out fire evacuation drills as required at both sites.
Should-do action 6 of 11
Should do
Effective
Review and formalise the system for implementation and monitoring of NICE and other clinical guidance.
Should-do action 7 of 11
Should do
Effective
Review the formalisation and documentation of clinical supervision for staff.
Should-do action 8 of 11
Should do
Caring
Review accessibility and provision of information and advice leaflets in different languages and formats.
Should-do action 9 of 11
Should do
Responsive
Review the displaying of the complaints procedure in the waiting areas.
Should-do action 10 of 11
Should do
Safe
Continue to monitor equipment checks for the out of hours vehicle to ensure daily checks of all equipment is carried out and recorded.
Should-do action 11 of 11
Should do
Safe
Continue to monitor compliance with clinical staff’s safeguarding update training.