Norvic Family Practice, Smethwick.Norvic Family Practice in Smethwick 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 2nd July 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.
5th September 2018 - During a routine inspection
This practice is rated as Requires improvement overall. (Previous inspection January 2018 -Inadequate overall)
The key questions are rated as:
Are services safe? – Inadequate
Are services effective? – Requires improvement
Are services caring? – Good
Are services responsive? – Requires improvement
Are services well-led? - Requires improvement
We carried out an announced comprehensive inspection at Norvic Family Practice on 16 January 2018. The overall rating for the service was Inadequate. Breaches of legal requirements were found and after the inspection we issued warning notices for Regulation 12: Safe care and treatment and Regulation 17: Good governance, HSCA (RA) Regulations 2014. The service was also placed into special measures.
We undertook a further inspection on 6 June 2018 to confirm that the service had carried out their plan to meet the legal requirements in relation to the warning notices issued. During the inspection we found the service had met the requirements of the warning notice. However, ongoing improvements were still required. We issued a requirement notice for Regulation 17: Good governance HSCA (RA) Regulations 2014.
The previous inspection reports for the service can be found by selecting the ‘all reports’ link for Norvic Family Practice on our website at www.cqc.org.uk.
This inspection was an announced comprehensive inspection carried out on 5 September to 2018. The purpose of the inspection was to confirm if the service had made sufficient improvements and be removed from special measures. We did not visit the branch practice site as part of this inspection, which is known as Norman Road Surgery and located at 110 Norman Road, Smethwick, West Midlands B67 5PU. However, we followed up actions and reviewed evidence in relation to it.
At this inspection we found:
The areas where the provider must make improvements as they are in breach of regulations.
The areas where the provider should make improvements are
This service was placed in special measures in March 2018. During this inspection we identified that insufficient improvements had been made such that there remains a rating of inadequate for safe and requires improvement for effective, responsive and well led. We have met with the providers to discuss the on-going non-compliance with the regulations.
I am extending the period of special measure for a further six months. 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.
6th June 2018 - During an inspection to make sure that the improvements required had been made
We carried out an announced comprehensive inspection at Norvic Family Practice on 16 January 2018. The overall rating for the practice was Inadequate. Breaches of legal requirements were found and after the comprehensive inspection we issued the following warning notices:
• A warning notice informing the practice that they were failing to comply with relevant requirements of the Health and Social Care Act 2008. As a result, the practice were required to become compliant with specific areas of Regulation 12: Safe care and treatment HSCA (RA) Regulations 2014, by 17 May 2018.
• A warning notice informing the practice that they were failing to comply with relevant requirements of the Health and Social Care Act 2008. As a result, the practice were required to become compliant with specific areas of Regulation 17: Good governance HSCA (RA) Regulations 2014, by 17 May 2018.
The full comprehensive report on the January 2017 inspection can be found by selecting the ‘all reports’ link for Norvic Family Practice on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 6 June 2018, at the main site Norvic Family Practice, 5 Suffrage Street, Smethwick, West Midlands, B66 3PZ . This was to confirm that the practice had carried out their plan to meet the legal requirements in relation to the warning notices issued. This report only covers our findings in relation to those requirements. We did not visit the branch practice site as part of this inspection, which is located at Norman Road Surgery, 110 Norman Road, Smethwick, West Midlands B67 5PU. However, we followed up actions and reviewed evidence which related to the branch practice and referred to this in the warning notice.
Our key findings were as follows:
• There were a number of policies and procedures to govern activity however, some lacked detail and were not followed consistently. Disclosure and barring check (DBS) were not carried out in line with the practice policy for checks. The recruitment policy lacked detail on the pre- employment checks required.
• The practice had made positive changes to ensure reliable systems were in place for the appropriate and safe use of medicines. This included the monitoring of patients in receipt of high risk medicines.
• There were risk assessments in relation to safety issues. This included fire safety and infection prevention and control.
• The system for recording and learning from significant events was not clear or consistent to support learning and improvements.
• The practice acted on and learned from national safety alerts such as alerts from the Medicines and Healthcare products Regulatory Agency (MHRA). Staff were able to demonstrate that they had taken necessary action in response to specific safety alerts.
• The practice had made some improvement to the governance processes. However, there was a lack of oversight in some areas such as recruitment files and significant events.
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.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
16th January 2018 - During a routine inspection
Letter from the Chief Inspector of General Practice
This practice is rated as Inadequate overall. (The practice was previously inspected in November 2016 and rated as requires improvement)
The key questions are rated as:
Are services safe? – Inadequate
Are services effective? – Requires Improvement
Are services caring? – Good
Are services responsive? – Requires improvement
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 Norvic Family Practice also known as Victoria Health Centre 16 November 2016. There is a branch surgery (Norman Road Family Surgery) which we also visited. The overall rating for the practice was requires improvement. The full comprehensive report on the November 2016 inspection can be found by selecting the ‘all reports’ link for Norvic Family Practice on our website at www.cqc.org.uk.
We carried out an announced comprehensive inspection at Norvic Family Practice on 16 January 2018 and this report covers our findings. We also visited the branch surgery (Norman Road Family Surgery). Overall the practice is rated as inadequate.
Our key findings across all the areas we inspected were as follows:
The areas where the provider must make improvements are:
The areas where the provider should make improvement 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
4th November 2016 - During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Norvic Family Practice also known as Victoria Health Centre on 4 November 2016. Overall the practice is rated as requires improvement.
Our key findings across all the areas we inspected were as follows:
The areas where the provider must make improvement are:
The areas where the provider should make improvement are:
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
8th August 2014 - During a routine inspection
The Norvic Family Practice provides a range of primary medical services for approximately 8,000 patients from two locations in Smethwick. As each of these locations is registered separately with the CQC, our inspection considered services provided by the Victoria Health Centre only. The other location is a short distance away in Norman Road.
Prior to our inspection we spoke with patients during a listening event held locally and we also spoke with the local area team from NHS England, the local clinical commission group (CCG) and the local medical committee. During our inspection we spoke with staff and patients attending the practice that day.
We found that the practice was effective, caring, responsive and well-led. However, we found that the practice should improve some of its safety review arrangements. The practice was committed to learning from when things went wrong and engaged in significant event and clinical audit. Clinical audit is a way of finding out if healthcare has been provided in line with recommended standards.
Patients we spoke with at the practice reported that the practice was caring and that they were treated with respect. The majority of patients reported satisfaction with the care they received from the practice but there were concerns expressed regarding difficulty in getting appointments. This has been an area on which the practice has been working over a period of time and has implemented actions to improve access.
The practice was proactive in identifying the needs of the practice population and had analysed data and implemented changes to how services are delivered as a result. The practice offered services to include provision of health care to all population groups.
There was a specific GP with an interest in care of older people and mental health, and patients with long term conditions are managed appropriately. The practice offered facilities for young children and mothers for support and advice and opportunity to take up national screening programmes for immunisation and cervical screening. The practice had systems in place to identify vulnerable people and those with mental health problems who may need additional support and referral to more specialised services.
The practice had extended opening hours and online appointments to provide improved access to services for those patients who work.
Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the CQC at that time.
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