We carried out an announced comprehensive inspection at OHP- Handsworth Medical Practice on 7 March 2019 as part of our inspection programme.

At the last inspection in December 2015 we rated the practice as Good overall. At this inspection we rated the practice requires improvement overall.

We based our judgement of the quality of care at this service 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 requires improvement for providing safe and effective services because:

• The provider was unable to demonstrate that all clinical staff had suitable indemnity arrangements in place.
• Risks associated with the absence of some emergency medicines were not assessed and managed effectively.
• The practice was unable to demonstrate a comprehensive quality assurance system, including appropriate training and formal supervision for staff undertaking extended roles to ensure competency was reviewed and maintained.

We rated the practice as good for providing caring, responsive and well led services because:

• Staff dealt with patients with kindness and respect and involved them in decisions about their care.
• Patients were able to access timely care and treatment.
• There were evidence of systems and processes for learning and continuous improvement.

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.
• Ensure persons employed in the provision of the regulated activity receive the appropriate support, training, professional development, supervision and appraisal necessary to enable them to carry out the duties.

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

The areas where the provider should make improvements are:

• Ensure staff receive the appropriate training relevant to their role including safeguarding and chaperoning.
• Follow up on the actions from the risk assessments in place for staff who do not have vaccinations relevant to their role and in line with current Public Health England (PHE) guidance.
• Consider how to increase the uptake for cervical and bowel cancer screening.
• Ensure audit cycles are completed where appropriate.

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