The Health Centre in Englefield Green, Egham 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 25th May 2017
The Health Centre is managed by Runnymede Medical Practice.
Contact Details:
Address:
The Health Centre Bond Street Englefield Green Egham TW20 0PF United Kingdom
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at The Health Centre (Runnymede Medical Practice) on 11 April 2017. We carried out this inspection to check that the practice was meeting the regulations and to consider whether sufficient improvements had been made.
Our previous announced comprehensive inspection in August 2016 found breaches of regulations relating to the safe, effective, caring and well-led delivery of services. Specifically, the practice was rated inadequate for safe and well-led domains, requires improvement in effective and caring domains and good in responsive. The overall rating of the practice in August 2016 was inadequate and the practice was placed into special measures for six months. Following the inspection, we received an action plan which set out what actions were to be taken to achieve compliance.
At the inspection in April 2017, we found the practice had made significant improvements. Specifically, we found the practice good for the provision of safe, effective, caring, responsive and well-led services. Overall, the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
The practice had strong and visible clinical and managerial leadership and governance arrangements and they demonstrated significant improvements since the previous inspection.
The practice had a clear vision which had quality and safety as its top priority.
The practice had implemented effective monitoring system and all the areas of concerns from the previous inspection had been resolved.
There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events. Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses.
Risks to patients were assessed and well-managed.
The practice used innovative and proactive methods to improve patient outcomes, working with other local providers to share best practice. There was a clear leadership structure. The practice had provided effective leadership and support to the nursing team.
We found that completed clinical audit cycles were driving positive outcomes for patients.
Data showed the practice had demonstrated improvements in patient’s outcomes.
The practice worked closely with other organisations and with the local community in planning how services were provided to ensure that they meet patients’ needs.
The practice implemented suggestions for improvements and made changes to the way it delivered services as a consequence of feedback from patients and from the patient participation group (PPG). For example, the practice had organised health education and awareness workshops in consultation with PPG delivered by practitioners, to support patients self managing their long term conditions.
Staff feedback had been considered and the practice had increased staffing levels.
Staff assessed patients’ needs and delivered care in line with current evidence based guidance.
The practice actively reviewed complaints and how they are managed and responded to, and made improvements as a result.
The provider was aware of and complied with the requirements of the duty of candour.
We saw areas of outstanding practice including:
There was a proactive approach to understanding the needs of different groups of patients and to deliver care in a way that meets these needs. Specifically the practice was able to demonstrate how they promoted quality improvements and how their approach improved patient outcomes for health and well-being. This included patients who were in vulnerable circumstances or who had complex needs. For example,
The practice had responded to the needs of a higher than average older patients list size by developing a ‘pro-active care scheme’ during the winter time, which included combination of health and social care support. This scheme had been evaluated and recognised by Health Education England. This scheme had identified more than 2000 patients with frail characteristics and the practice was planning a targeted approach to deliver the services to meet their needs.
The practice had secured the funding and launched a project ‘you care, we care’ to identify carers to enable them to access the support available via the practice and external agencies. The practice had taken a number of positive steps and the register of patients who were carers had increased from 76 (0.63%) patients to 299 patients (2.5% of the practice patient population list size).
I am taking this service out of special measures. This recognises the significant improvements made to the quality of care provided by this service.
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at The Health Centre (Runnymede Medical Practice) on 11 April 2017. We carried out this inspection to check that the practice was meeting the regulations and to consider whether sufficient improvements had been made.
Our previous announced comprehensive inspection in August 2016 found breaches of regulations relating to the safe, effective, caring and well-led delivery of services. Specifically, the practice was rated inadequate for safe and well-led domains, requires improvement in effective and caring domains and good in responsive. The overall rating of the practice in August 2016 was inadequate and the practice was placed into special measures for six months. Following the inspection, we received an action plan which set out what actions were to be taken to achieve compliance.
At the inspection in April 2017, we found the practice had made significant improvements. Specifically, we found the practice good for the provision of safe, effective, caring, responsive and well-led services. Overall, the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
The practice had strong and visible clinical and managerial leadership and governance arrangements and they demonstrated significant improvements since the previous inspection.
The practice had a clear vision which had quality and safety as its top priority.
The practice had implemented effective monitoring system and all the areas of concerns from the previous inspection had been resolved.
There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events. Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses.
Risks to patients were assessed and well-managed.
The practice used innovative and proactive methods to improve patient outcomes, working with other local providers to share best practice. There was a clear leadership structure. The practice had provided effective leadership and support to the nursing team.
We found that completed clinical audit cycles were driving positive outcomes for patients.
Data showed the practice had demonstrated improvements in patient’s outcomes.
The practice worked closely with other organisations and with the local community in planning how services were provided to ensure that they meet patients’ needs.
The practice implemented suggestions for improvements and made changes to the way it delivered services as a consequence of feedback from patients and from the patient participation group (PPG). For example, the practice had organised health education and awareness workshops in consultation with PPG delivered by practitioners, to support patients self managing their long term conditions.
Staff feedback had been considered and the practice had increased staffing levels.
Staff assessed patients’ needs and delivered care in line with current evidence based guidance.
The practice actively reviewed complaints and how they are managed and responded to, and made improvements as a result.
The provider was aware of and complied with the requirements of the duty of candour.
We saw areas of outstanding practice including:
There was a proactive approach to understanding the needs of different groups of patients and to deliver care in a way that meets these needs. Specifically the practice was able to demonstrate how they promoted quality improvements and how their approach improved patient outcomes for health and well-being. This included patients who were in vulnerable circumstances or who had complex needs. For example,
The practice had responded to the needs of a higher than average older patients list size by developing a ‘pro-active care scheme’ during the winter time, which included combination of health and social care support. This scheme had been evaluated and recognised by Health Education England. This scheme had identified more than 2000 patients with frail characteristics and the practice was planning a targeted approach to deliver the services to meet their needs.
The practice had secured the funding and launched a project ‘you care, we care’ to identify carers to enable them to access the support available via the practice and external agencies. The practice had taken a number of positive steps and the register of patients who were carers had increased from 76 (0.63%) patients to 299 patients (2.5% of the practice patient population list size).
I am taking this service out of special measures. This recognises the significant improvements made to the quality of care provided by this service.
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