Birmingham NHS Walk-in centre in Birmingham is a Doctors/GP and Urgent care centre specialising in the provision of services relating to services for everyone and treatment of disease, disorder or injury. The last inspection date here was 10th January 2018
Birmingham NHS Walk-in centre is managed by Chilvers & McCrea Limited who are also responsible for 7 other locations
Contact Details:
Address:
Birmingham NHS Walk-in centre 66 High Street Birmingham B4 7TA United Kingdom
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Birmingham NHS Walk in Centre on 14 March 2017. The overall rating for the service was requires improvement. The full comprehensive report on the March 2017 inspection can be found by selecting the ‘all reports’ link for Birmingham NHS Walk in Centre on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 13 December 2017. It was undertaken to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 14 March 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is now rated as good.
Our key findings were as follows:
The service had made significant progress in relation to the concerns raised at our previous inspection in March 2017.
There was an effective system for reporting and recording incidents to support learning and improvement.
There were effective systems for assessing the risk of, and preventing, detecting and controlling the spread of, infections, including those that were health care associated. Comprehensive audits had been undertaken to assess the risks and actions taken in response.
There were appropriate systems in place for monitoring prescription stationery.
Emergency equipment was regularly checked to ensure if was in working order and fit for use when needed.
A range of clinical audits had been carried out to support service improvements.
Verbal as well as written complaints were recorded and reviewed to identify trends or themes and support service improvement.
A closer relationship between the provider organisation and the walk-in centre had been developed and staff felt supported.
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Birmingham NHS Walk-in Centre on 14 March 2017. Overall the service is rated as requires improvement.
Our key findings across all the areas we inspected were as follows:
There were systems in place for recording, reporting and learning from significant events. Although, opportunities to learn from incidents were not always maximised.
Risks to patients were assessed and generally well managed with the exception of infection control.
Patients’ care needs were assessed and delivered in a timely way according to need and in line with current evidence based guidance.
There was some evidence of quality improvement activity but this was limited.
Staff received training to provide them with the skills, knowledge and experience appropriate to their roles.
There was a system in place that enabled staff access to patient summary care records, and staff provided other services, for example the local GP, with information following contact with patients as was appropriate.
The service managed patients’ care and treatment in a timely way.
Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
Information about services and how to complain was available and easy to understand. Information from complaints was used to support improvements in the quality of care.
The service worked proactively with other organisations and providers to develop services that supported alternatives to hospital attendance where appropriate and improved the patient experience.
The service was accessible to patients and well equipped to treat patients and meet their needs.
There was a clear leadership structure but staff felt a little isolated from the wider organisation. The service proactively sought feedback from staff and patients, which it acted on.
The provider was aware of and complied with the requirements of the duty of candour.
The areas where the provider must make improvement are:
Ensure effective systems for assessing the risk of, and preventing, detecting and controlling the spread of, infections, including those that are health care associated.
Ensure effective systems are in place for supporting quality improvement such as clinical audit.
The areas where the provider should make improvement are:
Encourage greater reporting of incidents in order to promote wider opportunities for learning.
Embed systems put in place for managing prescription stationery and for regular checking of all emergency equipment.
Consider recording verbal complaints and utilising these to support learning and improvement.
Consider how working arrangements between the walk-in centre and wider provider organisation could be improved.
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