Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Moorfield Road Health Centre on 22 June 2016. The overall rating for the practice Requires Improvement. The full comprehensive report on the June 2016 inspection can be found by selecting the ‘all reports’ link for Moorfield Road Health Centre on our website at www.cqc.org.uk.

At our previous inspection in June 2016, we rated the practice as Requires Improvement for providing safe and effective services. At this time included amongst the issues we identified, was the practice could not provide sufficient evidence that there were clear processes in place to identify where improvements in clinical care could be made, that there was not a programme of regular fire drills being conducted at the practice and that there was a lack of information throughout the practice informing patients of what to do in the event of a fire.

This inspection was an announced focused inspection carried out on 5 July 2017 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 22 June 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection. At this inspection, we found that the practice had made improvements to provide safe and effective services. As a result of these findings, the practice is now rated as good for providing safe and effective services.

The change in the ratings for safe and effective, means that the practice overall is now rated as Good.

Our key findings were as follows:

• Clinical audits were being conducted at the practice as part of a system of ensuring effective clinical care was being delivered to patients.
• The practice had introduced regular fire drills. All staff members had been trained in what to do in the event of a fire and there was signage within patient areas informing them what to do in the event of the fire alarm sounding.
• We saw evidence that patient care plans (in particular for patients at risk of un-planned or readmission to hospital) were up-to-date and contained relevant personalised information.
• The practice now attends regular multi-disciplinary meetings with other health care professionals to discuss complex needs patients.
• All staff members had received an appraisal within the last 12 months.

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 comprehensive inspection at Moorfield Road Health Centre on 22 June 2016. Overall the practice is rated as Requires Improvement.

Our key findings across all the areas we inspected were as follows:

• Staff assessed patients’ needs and delivered care in line with current evidence based guidance.
• Effective care plans were not in place for those at risk of unplanned admission/readmission to hospital.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• The practice had not attended a multi-disciplinary meeting with other health care professionals during the last nine months.
• Information about services and how to complain was available and easy to understand.
• The practice had not recently conducted a fire drill and there was no information for patients regarding what to do in the event of a fire.
• There was little evidence of quality improvement for patients through clinical audits
• There was a leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
• Staff received ongoing support, one-to-one meetings, coaching and mentoring, clinical supervision and facilitation and support for revalidating GPs. However, not all staff had received an appraisal within the last 12 months.

The areas where the provider must make improvement are:

• Ensure there are processes for identifying where improvements in clinical care can be made and monitored; including regular two-cycle clinical audits
• Establish regular fire drills and to make efforts to ensure that patients are aware of what to do in the event of a fire.

The areas where the provider should make improvement are:

• Ensure care plans are updated and relevant to patient requirements.
• To engage with patients and local community to encourage higher uptake of childhood vaccinations.

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 comprehensive inspection at Moorfield Road Health Centre on 22 June 2016. The overall rating for the practice Requires Improvement. The full comprehensive report on the June 2016 inspection can be found by selecting the ‘all reports’ link for Moorfield Road Health Centre on our website at www.cqc.org.uk.

At our previous inspection in June 2016, we rated the practice as Requires Improvement for providing safe and effective services. At this time included amongst the issues we identified, was the practice could not provide sufficient evidence that there were clear processes in place to identify where improvements in clinical care could be made, that there was not a programme of regular fire drills being conducted at the practice and that there was a lack of information throughout the practice informing patients of what to do in the event of a fire.

This inspection was an announced focused inspection carried out on 5 July 2017 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 22 June 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection. At this inspection, we found that the practice had made improvements to provide safe and effective services. As a result of these findings, the practice is now rated as good for providing safe and effective services.

The change in the ratings for safe and effective, means that the practice overall is now rated as Good.

Our key findings were as follows:

• Clinical audits were being conducted at the practice as part of a system of ensuring effective clinical care was being delivered to patients.
• The practice had introduced regular fire drills. All staff members had been trained in what to do in the event of a fire and there was signage within patient areas informing them what to do in the event of the fire alarm sounding.
• We saw evidence that patient care plans (in particular for patients at risk of un-planned or readmission to hospital) were up-to-date and contained relevant personalised information.
• The practice now attends regular multi-disciplinary meetings with other health care professionals to discuss complex needs patients.
• All staff members had received an appraisal within the last 12 months.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice