Care Quality Commission
West Cambs Federation (CIC) is a provider of Primary Care Services. We deliver the Improved Access service (evening and weekend routine, non-urgent clinical appointments) from 4 Hubs (Cornerstone Practice, Acorn Surgery, Cromwell Place, Buckden Surgery). These Hubs are existing GP Surgeries which we operate from. They have their own CQC Inspections.
West Cambs Federation was inspected on July 19th 2019. We were rated Inadequate. It is important to clarify that Cornerstone Practice, Acorn Surgery, Cromwell Place and Buckden Surgery were not the providers being inspected, but they are the registered addresses for our service.
West Cambs Federation has been running the Improved Access service since Sept 2018. We took on the service at short notice and worked to get it up and running. The CQC inspection highlighted the challenges that we had faced. We accept the rating and we developed an Action Plan within 24 hrs. Since the 19th July, we have worked closely with the CQC and CCG to ensure that our Acton Plan addresses the issues raised during the inspection.
It is important to say that the issues raised during the inspection were systemic, organisational issues and at no point has there been any question that our brilliant staff deliver an excellent service to patients. The Patient Feedback that we collect clearly demonstrates that they value the service we provide. We employ staff who already work within GP Practices across West Cambridgeshire. However, we did not have adequate processes for checking mandatory training requirements. In addition, we were not carrying out appropriate auditing and monitoring.
At the time of the inspection we had a number of colleagues who did not have their DBS check complete for this role. Despite them having a DBS for their main Primary Care role, they also need a further DBS check to work for an additional employer. We now have 100% of our workforce with up to date DBS checks.
Since the inspection, our Board membership has changed and we are developing new and robust Governance Structures. We have started to deliver training to our workforce and we are introducing a number of new/revised policies and procedures.
CQC inspections evolve and providers that received Good or Outstanding ratings previously might find the new inspection regime more challenging. However, the support we have received from both the CQC and CCG has been fantastic.
Director of Business and Operations