The CQC has named and shamed its first GP practice, warning a single-hander in greater Manchester he could face having his services restricted or a notice to cancel his registration if he does not make urgent improvements in a number of areas.
The CQC visited Dr Michael Florin’s practice in June and found he was failing to meet 13 national standards of quality and safety. He now must submit a report by the 1 October detailing how he will become compliant.
He faces further enforcement action if he fails to make the improvements. In the near future CQC inspectors will carry out another unanounnced inspection to ensure the improvements are made.
The regulator added that Dr Florin’s original registration with the CQC was conditional on him making a number of improvements on quality and safety, which were due to be made by last April, so it is ‘disappointing’ that the changes were not in place when the practice was inspected in June.
The news comes after Pulse reported one GP practice in mid Essex was closed by the local area team, partly because they failed the CQC’s premises standards. Two GP practices have also launched a legal battle to reverse the CQC’s decision to close them down.
The CQC’s report from the inspection found the practice fell below the national standards in areas including staff training, staff recruitment, infection control, management and storage of medicines, and medicines management.
It said consulting rooms were ‘dusty and cluttered with inadequate hand washing facilities’ and staff had no training, policy or guidance on infection prevention, nor child safeguarding or treatment of minors.
The inspectors said it was not clear whether information was shared with other relevant health professionals to ensure the patient receives appropriate care.
Confidential records were left ‘unattended or not securely stored’ in a number of areas of the practice. There was also no patient participation group, or any suitable arrangements to monitor the quality of the service, the report said.
It added that inspectors also found a number of medicines used to treat patients in emergency situations were past their expiry date, and some vaccines stored in the fridge were six months out of date.
Malcolm Bower-Brown, regional director of CQC in the North, said: ‘When we registered Dr Florin’s practice earlier this year, it was on condition that the provider addressed a number of shortfalls against the national standards of quality and safety. We were told that these improvements would be in place by April this year.
‘It is a matter of real concern that, following our inspection in June, the surgery was still not meeting 13 of these standards. We have told Dr Florin that he needs to take urgent action to address these issues.
‘We will return unannounced in the near future to check that Dr Florin has made the changes required and will not hesitate to take further regulatory action if required.’
Dr Michael Florin said he was disappointed with the CQC’s report, but reiterated that the inspection made no criticisms about the clinical care at the practice.
He said: ‘Naturally, we are disappointed with the outcome of the recent CQC inspection of the practice and the conclusions of the report which have been published today. I became the sole partner at the practice 18 months ago, and since that time I have taken steps to update many of the practice administration and IT systems.
‘We will continue to work hard to ensure the issues raised in the report are addressed and have established an action plan to ensure this is done as soon as possible. Our priority is safe patient care, and I would emphasise that the inspection made no criticism of the clinical care provided.
‘I’m very happy to meet with any of our patients who have concerns as a result of the CQC report, to discuss those concerns and the plan for meeting the targets set for us.’