We carried out an announced comprehensive inspection at Lakeside Healthcare Partnership (Lakeside at Corby), on 26 November 2018 as part of our inspection programme.

Our judgement of the quality of care at this service is based on a combination of what we found when we inspected, information from our ongoing monitoring of data about services and information from the provider, patients, the public and other organisations.

We have rated this practice as requires improvement overall.

We rated the practice as inadequate for providing safe services because:

• The practice did not always have clear systems and processes to keep patients safe.
• Staff did not have all the information they needed to deliver safe care and treatment.
• The practice did not have appropriate systems in place for the safe management of medicines.

We rated the practice as good for providing effective services because:

• Patients received effective care and treatment that met their needs.

We rated the practice as good for providing caring services because:

• Staff dealt with patients with kindness and respect and involved them in decisions about their care.

We rated the practice as requires improvement for providing a responsive service because:

• Feedback from patients relating to access to services was significantly lower when compared with local and national averages. The practice were aware of this and were implementing an action plan to address the issues.

This area affected all population groups so we rated all population groups as requires improvement.

We rated the practice as requires improvement for providing well-led services because:

• There were not always clear responsibilities, roles and systems of accountability to support good governance and management.
• The practice did not always have clear and effective processes for managing risks.
• The practice did not always act on appropriate and accurate information.

We identified an area of outstanding practice:

• Lakeside Healthcare Partnership, as a provider, had their own designated safeguarding team who were employed within the partnership from Monday to Friday to cover all aspects of the safeguarding processes to protect both children and adults. The team covered all aspects of the safeguarding role with a view that this increased staff’s knowledge of at risk patients and ensured a level of continuity. The members of the team were easily contactable during working hours via telephone or the task system on the clinical record system. Staff told us, and we found evidence, that as dealing with safeguarding concerns was the only role of the dedicated team that this enabled them to produce much more detailed safeguarding referrals and child protection reports.

The areas where the provider must make improvements are:

• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

(Please see the specific details on action required at the end of this report).

In addition, the provider should:

• Review the arrangements for the oversight of nurses’ clinical decision making and ensure the planned system is embedded.
• Review the system for identifying patients with an underlying condition who were eligible for relevant vaccinations to ensure they are regularly identified.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced inspection of Dr Wilczynski and Partners on 4 November 2014. This was a comprehensive inspection. The practice achieved an overall rating of Good. This was based on our rating of all of the five domains. Each of the six population groups we looked at achieved the same good rating.

The practice was rated as ‘good’ overall.

Our key findings were as follows:

• Patients rated the practice and staff highly and felt welcomed and well cared for.
• Patients felt respected and listened to and stated that they were involved in their treatment and care.
• Systems were in place to maintain the appropriate standards of cleanliness and protect people from the risks of infection. The practice was clean.
• Systems were in place to identify and respond to concerns about the safeguarding of adults and children. All staff demonstrated a good awareness of the processes.
• The practice communicated well with patients and other health professionals.

However, there were also areas of practice where the provider needs to make improvements.

The provider should:

• Continue to monitor risk assessments and actions so archived paper patient records remain safe and secure.
• Monitor the effectiveness of the newly implemented process to manage blank prescription forms at all three branches.
• Implement actions at Forest Gate surgery so clinical and hazardous waste is stored securely prior to disposal.
• Ensure the recommended remedial work for ensuring legionella water safety at Brigstock surgery is completed as planned by 31 March 2015.
• Monitor the effectiveness of the newly implemented access to health checks at Brigstock surgery.
• Monitor the effectiveness of the newly implemented system for effective communication with staff at Brigstock surgery.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice