7 July 2014
During a routine inspection
The practice provided GP services to over 4000 patients in the centre of Leicester. The practice is based at St Peter’s Health Centre, Sparkenhoe Street, Leicester. The premises is a new building owned by Leicestershire Partnership NHS Trust (LPT). The practice provides a range of primary medical services including: health promotion and disease management, minor surgery, child immunisation and a baby clinic.
This was an announced inspection, which focused on whether the care and treatment of patients was: safe, effective, caring, responsive and well led. We spoke with six patients during our inspection. We also received 12 comment cards, and reviewed written and verbal feedback from patients and observed how staff interacted with patients. Most of the feedback about patients’ care and treatment was positive.
The practice had conducted a patient survey, and the results were available on the practice’s website. The results for 2013/14 showed that 98 patients had taken part in the survey. Comments were generally very positive. Also on the website was an action plan which had been produced as a result of the comments in the 2013/14 survey. The action plan addressed a number of issues and included time scales for action.
As part of the inspection we reviewed Information from Leicester City Clinical Commission Group (CCG) and Public Health England.
We found the practice understood the needs of its patient population and provided flexible and responsive services to meet their needs. Patients told us they sometimes had difficulty accessing the service through the telephone system.
Staff said they were well supported by the GPs and practice manager and that they found them open and approachable. We saw that there were systems in place to safeguard children and vulnerable adults from abuse, and staff were aware of the procedures to follow to achieve this.
We found the practice responded to the needs of older people, people with long term conditions, mothers, babies, children and young people, the working age population, people in vulnerable circumstances and people who were experiencing poor mental health.
We found that the practice was not following National Institute and Care Excellence (NICE) guidelines in respect of clinical audits. As a result we have set a compliance action as this is a breach of the regulations.
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.