CQC Essentials: Advice for GP practices on meeting CQC requirements
The Medeconomics CQC Essentials series provides practical, real-life advice for GPs and practice managers about what the CQC will expect to see within a practice during an inspection.
These articles are reproduced from the CQC's 'Nigel's Surgery: Tips and mythbusters for GP practices', which are written by Professor Nigel Sparrow, the CQC's senior national GP advisor and responsible officer, and other experts from within the CQC. All of this content is available free to both subscribers and non-subscribers.
Covering a range of topics including infection control, safeguarding, quality of care, policies and procedures, leadership and staff management/HR each article explains the CQC's view of best practice on a particular topic, provides links to relevant guidance or information and debunks a number of myths about the CQC's expectations.
GP practices' procedures and protocols form a key part of a CQC inspection. This will include procedures around drug and vaccine management, patient records, certain aspects of patient care and organisational issues.
During an inspection the CQC will expect to see evidence that the practice is striving to constantly improve care and the services it provides to patients, for example through clinical audit or as a result of patient feedback. The CQC will also have a clear idea of what good quality care for specific groups of patients looks like.
Practices' HR and employment processes will be checked during a CQC inspection, including DBS check procedures, whether staff have clear roles and responsbilities that fall within their level of competence and whether the practice supports staff learning and development.
The CQC expects practices to have robust systems in place for safeguarding children and adults at risk. This includes ensuring all staff have received the appropriate level of training for their role and that they all understand the system for reporting concerns.
The CQC will want to see evidence that practices are meeting health and safety standards during an inspection, including complying with legionella requirements, maintenance of medical equipment, portable appliance testing and calibrating medical equipment and reporting patient safety incidents to the NRLS.
The CQC will assess whether practices are well-led during an inspection, this will include looking at governance arrangements, the Duty of Candour and whether the practice has a vision and strategy.
What does the CQC expect from practices regarding infection control? Our CQC Essentials series provides advice from the CQC on issues including carpets in practices, curtains in consulting rooms, hand washing signs and toys in the waiting room.
What areas of a practice will the CQC look at during an inspections and are inspectors able to access medical records?