Fitzalan Medical Group, Fitzalan Road, Littlehampton.Fitzalan Medical Group in Fitzalan Road, Littlehampton is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, family planning services, maternity and midwifery services, services for everyone, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 28th August 2019 Contact Details:
Ratings:For a guide to the ratings, click here. Further Details:Important Dates:
Local Authority:
Link to this page: Inspection Reports:Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.
21st November 2018 - During an inspection to make sure that the improvements required had been made
![]() We carried out an announced focused inspection at Fitzalan Medical Group on 21 November 2018.
At this inspection we followed up on breaches of regulations identified at our previous inspection in August 2018. The ratings remain unchanged from the August 2018 inspection as the purpose of this inspection was to review compliance against the warning notices issued.
We based our judgement of the quality of care at this service on a combination of:
At this inspection we found, the practice had made significant improvements and was compliant with the warning notices, in particular:
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice
6th November 2018 - During an inspection to make sure that the improvements required had been made
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This practice is rated as inadequate overall. (Rated December 2017 – Inadequate)
The key questions are rated as:
Are services safe? – Inadequate
Are services effective? – Inadequate
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Inadequate
We carried out an announced focused inspection at Fitzalan Medical Group on 11 June 2018, to follow up on breaches of regulations identified at our inspection in February 2018. The ratings remain unchanged from the December 2017 inspection as the purpose of the February, April and June inspections were to review compliance against the warning notices issued. Due to concerns raised about the practice this inspection was expanded to review the acute and repeat prescribing processes.
When we undertook a follow up inspection of the service on 1 February 2018 we found that the arrangements in safe had not improved sufficiently and we issued a warning notice in respect of these issues. The details of these can be found by selecting the ‘all reports’ link for Fitzalan Medical Group on our website at www.cqc.org.uk.
At this inspection we found:
Professor Steve Field CBE FRCP FFPH FRCGP
4th April 2018 - During an inspection to make sure that the improvements required had been made
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However, there were also areas of practice where the provider needs to make improvements.
Importantly, the provider must:
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
1st February 2018 - During an inspection to make sure that the improvements required had been made
![]() We carried out an announced comprehensive inspection at Fitzalan Medical Group on 19 December 2017. The overall rating for the practice was inadequate. The full comprehensive report on the December 2017 inspection can be found by selecting the ‘all reports’ link for Fitzalan Medical Group on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 1 February 2018 to confirm that the practice was compliant with a warning notice issued following the December 2017 inspection. A warning notice was issued against regulation 12 (1) (safe care and treatment) and of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This report covers our findings in relation to the requirements against regulation 12 (1) (safe care and treatment).
The ratings remain unchanged from the December 2017 inspection as the purpose of the February 2018 inspection was to review compliance against the warning notice issued.
Our key findings were as follows:
However, there were also areas of practice where the provider needs to make improvements.
Importantly, the provider must:
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
19th December 2017 - During a routine inspection
![]() Letter from the Chief Inspector of General Practice
This practice is rated as Inadequate overall. (Previous inspection June 2015 – Good)
The key questions are rated as:
Are services safe? – Inadequate
Are services effective? – Inadequate
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Inadequate
As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:
Older People – Inadequate
People with long-term conditions – Inadequate
Families, children and young people – Inadequate
Working age people (including those retired and students – Inadequate
People whose circumstances may make them vulnerable – Inadequate
People experiencing poor mental health (including people with dementia) - Inadequate
We carried out an announced comprehensive inspection at Fitzalan Medical Group on 19 December 2017. The inspection was in response to concerns raised following a notification from the coroner about prescribing, monitoring and review processes within the practice.
At this inspection we found:
The areas where the provider must make improvements as they are in breach of regulations are:
The areas where the provider should make improvements are:
I am placing this service in special measures. Services placed in special measures will be inspected again within six months. If insufficient improvements have been made such that there remains a rating of inadequate for any population group, key question or overall, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating the service. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve.
The service will be kept under review and if needed could be escalated to urgent enforcement action. Where necessary, another inspection will be conducted within a further six months, and if there is not enough improvement we will move to close the service by adopting our proposal to remove this location or cancel the provider’s registration.
Special measures will give people who use the service the reassurance that the care they get should improve.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
19th November 2015 - During an inspection to make sure that the improvements required had been made
![]() Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection of this practice on 13 January 2015. Breaches of legal requirements were found in relation to the safe management of medicines. After the comprehensive inspection, the practice wrote to us to say what they would do to meet legal requirements. We undertook this focused inspection on 19 November 2015 to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements.
Our previous report also highlighted areas where the practice should improve:-
Our key findings across the areas we inspected for this focused inspection were as follows:-
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
13th January 2015 - During a routine inspection
![]() We carried out an announced comprehensive inspection at Fitzalan Medical Group on 13 January 2015. Overall the practice is rated as good.
Specifically, we found the practice to be good for providing, effective, caring, responsive and well led services. However the practice is rated as requires improvement for providing safe services. The practice was also rated as good for providing services to the six population groups.
Our key findings across all the areas we inspected were as follows:
There were also areas of practice where the provider needs to make improvements.
Specifically the provider must:-
In addition, the provider should:-
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
5th March 2014 - During a routine inspection
![]() We inspected Fitzalan Medical Group to look at the care and treatment provided by staff to the patients. We spoke with five patients during our visit as well as five members of staff (which included the practice manager and the registered manager). We also collected six responses to a questionnaire that we left in the waiting area for patients. We observed during our visit that staff treated patients with respect. We noted that reception staff greeted and spoke politely to patients. One patient told us that they felt respected by the staff at the practice “All the time.” We found that the practice had good relationships with other providers and healthcare professionals. Patients who had been referred outside of the practice told us that the process had been smooth and efficient. One patient we spoke with said “I have regular hospital visits and the communication is very good between the practice and the hospital.” We found that staff were aware of procedures around safeguarding vulnerable adults and children. We saw that the practice had relevant safeguarding policies and guidance and there were two safeguarding leads at the practice. We found the practice hygienic and clean. The practice had good systems in place which ensured that patients were not at risk of infection. The practice had a complaints procedure which was made available to patients. None of the patients we spoke or who completed our questionnaire with had ever felt the need to make a complaint.
1st January 1970 - During a routine inspection
![]() This practice is rated as inadequate overall. (Previous rating December 2017 – Inadequate)
The key questions are rated as:
Are services safe? – Inadequate
Are services effective? – Inadequate
Are services caring? – Requires improvement
Are services responsive? – Inadequate
Are services well-led? - Inadequate
We carried out an announced comprehensive inspection at Fitzalan Medical Group on the 7 and 8 August 2018. This was to follow up on breaches of regulations and as part of our schedule of inspection where services placed in special measures will be inspected again within six months.
At this inspection we found:
The areas where the provider must make improvements as they are in breach of regulations are:
This service was placed in special measures in March 2018. Insufficient improvements have been made such that there remains a rating of inadequate overall and for providing safe, effective and well-led services. Therefore, we are taking action in line with our enforcement procedures. The service will be kept under review and if needed could be escalated to urgent enforcement action. Where necessary, another inspection will be conducted within six months, and if there is not enough improvement we will move to close the service by adopting our proposal to vary the provider’s registration to remove this location or cancel the provider’s registration.
Professor Steve Field CBE FRCP FFPH FRCGP
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