The Peel Medical Practice in Tamworth 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 31st May 2017
The Peel Medical Practice is managed by The Peel Medical Practice.
Contact Details:
Address:
The Peel Medical Practice 2 Aldergate Tamworth B79 7DJ United Kingdom
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Peel Medical Practice on 8 February 2016.
We found that there were a number of breaches of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014: Safe care and treatment:
The practice had not undertaken regular infection prevention control audits and had not completed a risk assessment on the consulting rooms that were carpeted.
Prescription pads and forms were not stored securely and a robust system was not in place to track their use (a tracking system for controlled stationary such as prescriptions is used by GP practices to minimise the risk of fraud).
The provider could not evidence that the appropriate recruitment checks had been completed on all staff employed.
A requirement notice was served on the practice in respect of theses breaches of regulations. The practice subsequently sent us an action plan to say what they would do to meet legal requirements.
The overall rating for the practice at the original inspection was good and the full comprehensive report on the February 2016 inspection can be found by selecting the ‘all reports’ link for Peel Medical Practice on our website at www.cqc.org.uk.
We undertook an announced focused inspection on 18 April 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 February 2016 inspection. We did not visit the practice but reviewed information sent to us by the provider. This report only covers our findings in relation to those requirements and additional improvements made since our last inspection. The legal requirements had been met and the rating in the safe key question changed from requires improvement to good.
Our key findings were as follows:
In March 2016, the practice implemented a new induction checklist supported by a step by step guide for recruitment. This included recruitment checks required under Section 13 of the Health and Social Care Act 2008. The induction programmes were role specific; there were separate inductions for nurses, non-clinical staff and locum GPs.
We were sent two completed checklists from personnel files of existing staff that included evidence that the appropriate checks had been undertaken. The provider told us that these checks had been carried out on all staff.
The practice told us that they had implemented a system to secure and account for prescription pads and forms within the practice. Evidence sent showed that the prescriptions used were recorded on a monthly report that followed the sequential numbering on the prescription forms.
The practice had completed risk assessments that included risk of infection in consulting rooms that had carpets.
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Peel Medical Practice on 8 February 2016. Overall the practice is rated as Good.
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 Care Quality Commission (CQC) at that time.
Our key findings were as follows:
Staff understood and fulfilled their responsibilities to raise concerns and to report incidents and near misses. A process had been implemented to record information about safety and to ensure it was appropriately reviewed and addressed.
Improved safety systems were being implemented following a change in management but evidence that appropriate recruitment checks had been completed on all staff was incomplete.
Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
Patients said they were treated with dignity and respect and they were involved in their care and decisions about their treatment.
Information about services and how to complain was available and easy to understand.
Patients told us they could get an appointment since the appointment system had been changed. Urgent appointments were available the same day.
The practice had good facilities and was well equipped to treat patients and meet their needs.
A clear leadership structure was implemented following change in management three weeks prior to the inspection date. Staff responded in a positive manager to the change and commented that they felt supported and listened to.
The practice had an active patient participation group and proactively sought feedback from staff, patients and third party organisations, which it acted on.
We saw two areas where the practice must make improvements:
Ensure that personnel files of existing staff include evidence that the appropriate checks have been undertaken.
Have a robust system to secure and account for prescription pads and forms within the practice.
We saw a number of areas where the practice should make improvements.
The practice should:
Perform a risk assessment on procedures carried out in carpeted consulting rooms to minimise the risk of infection.
Complete a review of the number of patients identified as carers.
Complete a risk assessment of data retention of confidential personal information.
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