We carried out a review of the data available to us about Greasbrough Medical Centre on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Greasbrough Medical Centre, you can give feedback on this service.
We carried out an announced comprehensive inspection at Greasbrough Medical Centre on 19 January 2016. The overall rating for the practice was good with requires improvement for the safety domain. The full comprehensive report for the 19 January 2016 inspection can be found by selecting the ‘all reports’ link for Greasbrough Medical Centre on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 15 February 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection on 19 January 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is rated as Good. The practice is now also rated as Good in the safety domain.
Improvements had been made since our last inspection on 19 January 2016. Our key findings were as follows:
Improvements had been made to the recruitment procedures. Checks that staff were of good character had been made. Disclosure and Barring Service (DBS) checks had been obtained for all staff who required them due to the nature of their role. Applicant’s physical and mental health had been considered in line with requirements of their role. Recruitment records now included records of interview. The recruitment policy now included the requirements for DBS checks and health checks.
Storage arrangements for paper towels in clinical rooms had been reviewed and the risk of cross contamination minimised.
Access to keys for the prescription pad storage area was now controlled.
Fixed wire installations (the wiring and equipment between the supply meter and the point of use, for example, socket outlets) had been inspected.
A practice specific risk assessment had been completed and procedures had been developed which identified the actions required to minimise the risk of legionella risk. However, records of routine weekly water temperature checks were not maintained in line with the practice policy and procedure.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Greasbrough Medical Centre on 19 January 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows: ;
The majority of risks to patients were assessed and managed. However there were some areas which required improvements such as recruitment procedures.
We saw one area of outstanding practice:
The appointment system was flexible and offered patients the opportunity to always be seen on the same day. The system was a combination of daily walk-in surgeries and pre-booked appointments. The practice also offered weekly late evening sessions for patients who worked. Systems were in place to minimise the wait for some patient groups during walk-in clinics such as children and those living with dementia. Longer appointments were proactively offered by staff to those who may need them such as those with mental health needs. All the patients we spoke with and on the comment cards we received said they were highly satisfied with the appointment system. Some said it gave them peace of mind that they knew they could see the GP when they needed to. Results from the national GP patient survey showed that patient’s satisfaction with how they could access care and treatment was above average compared to local and national averages.
The areas where the provider must make improvement are:
Disclosure and Barring service (DBS) checks had not been obtained prior to employment for staff who required them due to the nature of their role, for example, nurses. There was no evidence applicants' physical and mental health was considered in line with requirements of their role. The recruitment policy and procedure required further development to include the requirements and procedures for DBS checks and health checks.
The areas where the provider should make improvement are:
Infection prevention and control training provided on induction should be recorded.
Storage arrangements for paper towels in clinical rooms should be reviewed and the risk of cross contamination minimised.
Access to keys for the prescription pad storage area should be more controlled.
Recruitment procedures and records should include records of interview.
Arrangements should be put in place to ensure fixed wire installations (the wiring and equipment between the supply meter and the point of use, for example, socket outlets) are inspected and tested periodically by a competent person.
Practice specific procedures should be developed to ensure any required actions identified in the legionella risk assessment are undertaken.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. The people we spoke with were complimentary about the treatment they received. One person said, 'I am always treated well and things are explained clearly to me.' Another person said, 'The doctors and nurse are very good, they always explain things in a way I understand.'
People were cared for in a clean and hygienic environment. We saw the premises were very clean throughout.
We spoke with staff who said they were supported and able to approach the doctors if they had a concern. They said it was a friendly and inclusive environment to work in.
The provider had an effective system to regularly assess and monitor the quality of service that people received. We spoke with patients and one person said, 'The GP's are receptive to change and they have introduced an open surgery on a morning as a result of requests from the patient participation group.'