15 June 2017
During an inspection looking at part of the service
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at St Mary’s Medical Centre on 12 April 2016 followed by a focussed follow-up inspection on 22 November 2016.
The overall ratings for the practice was requires improvement. The full comprehensive report from April 2016 and focussed follow-up inspection from November 2016 can be found by selecting the ‘all reports’ link for St Marys Medical Centre on our website at www.cqc.org.uk.
This inspection was an announced focused inspection on 15 June 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 inspections of 12 April and 22 November 2016. 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. The overall rating for all the population groups are rated as good.
Our key findings were as follows:
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We found the practice now had an effective systems and processes in place for significant events, near misses and incidents.
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Risks to patients were now assessed and well managed.
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An effective system had been put in place for the monitoring of staff training.
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The practice had an effective overarching governance framework in place which supported the delivery of their strategy and good quality care.
The provider should:
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Ensure translation and interpreter services are reviewed and updated.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice