Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Stuart Crescent Health Centre on 5 September 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the Month Year inspection can be found by selecting the ‘all reports’ link for Stuart Crescent Health Centre on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 17 May 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 5 September 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good.

Our key findings were as follows:

• Fridge temperatures were being accurately recorded and there was a designated member of staff to check temperatures in the absence of the nurse.

• Patient Group Directions (PGDs) were signed and up to date so nurses could administer medicines in line with legislation.

• All emergency equipment was in date and there was a log to check expiry dates.

• Patient records were appropriately completed in respect of childhood immunisations.

• A system was in place to effectively monitor latest guidelines (NICE, MHRA) and new guidelines were discussed in practice meetings.

• A log of prescription pads was held and pads were kept secure.

• Carers had been identified and coded onto the practice system. Twenty five patients had been identified as carers (less than 1% of practice list) The practice was looking at ways to further provide support to them.

• The practice had looked into ways to improve cervical screening results, including text message reminders. The practice had achieved 78% for the cervical screening programme in 2016 compared to 71% in the previous year.

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

The provider should:

• Continue to review how it identifies patients with caring responsibilities to ensure information, advice and support is available to all.

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 Stuart Crescent Health Centre on 5 September 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the Month Year inspection can be found by selecting the ‘all reports’ link for Stuart Crescent Health Centre on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 17 May 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 5 September 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as good.

Our key findings were as follows:

• Fridge temperatures were being accurately recorded and there was a designated member of staff to check temperatures in the absence of the nurse.

• Patient Group Directions (PGDs) were signed and up to date so nurses could administer medicines in line with legislation.

• All emergency equipment was in date and there was a log to check expiry dates.

• Patient records were appropriately completed in respect of childhood immunisations.

• A system was in place to effectively monitor latest guidelines (NICE, MHRA) and new guidelines were discussed in practice meetings.

• A log of prescription pads was held and pads were kept secure.

• Carers had been identified and coded onto the practice system. Twenty five patients had been identified as carers (less than 1% of practice list) The practice was looking at ways to further provide support to them.

• The practice had looked into ways to improve cervical screening results, including text message reminders. The practice had achieved 78% for the cervical screening programme in 2016 compared to 71% in the previous year.

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

The provider should:

• Continue to review how it identifies patients with caring responsibilities to ensure information, advice and support is available to all.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

The practice is located in Stuart Crescent Health Centre, which also contains a number of other services. It has a shared waiting room.

When we visited the surgery we spoke with three patients and seven members of staff, including the doctors, the practice nurse, and the practice manager. All the patients were positive about the surgery and the experience of care they had received. We received the following comments from them:

“I’ve never had any complaints.”

“It is good here. The doctor is good.”

“No problem with it.”

We found that people’s privacy, dignity and independence were respected. Patients told us they felt respected by the doctors and their privacy was respected.

People experienced care, treatment and support that met their needs and protected their rights.

People were cared for in a clean, hygienic environment. The surgery was clean and there were systems in place to manage infection control risks.

People were cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard.

The provider had system to regularly assess and monitor the quality of service that people receive. The use of information could be further developed to ensure all learning points were identified.