The Care Quality Commission
  • Doctor
  • GP practice

Archived: Millbarn Medical Centre

Overall: Good read more about inspection ratings

34 London End, Beaconsfield, Buckinghamshire, HP9 2JH (01494) 675303

Provided and run by:
Millbarn Medical Centre

Important: This service is now registered at a different address - see new profile

All Inspections

31 July 2019

During an annual regulatory review

We reviewed the information available to us about Millbarn Medical Centre on 31 July 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

On 1 March 2017 we undertook a desktop review of information sent to us by the practice but have not revisited Millbarn Medical Centre because they were able to demonstrate that they were meeting the standards without the need for a visit.

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 Millbarn Medical Centre on 26 July 2016. The overall rating for the practice was good but the practice had breached regulations relating to operating consistent monitoring and management of safety systems and staff training. This led to a rating of requires improvement for provision of safe services. The full comprehensive report on the July 2016 inspection can be found by selecting the ‘all reports’ link for Millbarn Medical Centre on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 1 March 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 26 July 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice remains rated as good and is now rated good for provision of safe services.

Our key findings were as follows:

  • The practice had completed relevant checks on the gas services within the practice premises.

  • Appropriate risk assessments for legionella (Legionella is a term for a particular bacterium which can contaminate water systems in buildings) had been undertaken and control measures adopted.

  • Relevant training in safeguarding had been completed by all members of the nursing team.

  • Arrangements had been put in place for patients diagnosed with a learning disability to receive an annual physical health check.

  • The policy for maintaining medicines requiring refrigeration had been updated to detail actions required if fridge temperatures were recorded outside of the recommended range.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

26 July 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Millbarn Medical Centre on Tuesday, 26 July 2016. Overall the practice is rated as good. However, the practice is rated as requires improvement for the provision of safe services.

Our key findings across all the areas we inspected were as follows:

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, 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. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the duty of candour.
  • Risk management was inconsistent. A legionella risk assessment had not been completed. The gas boiler had not been serviced in accordance with guidance. A risk assessment for a non-responder to a course of immunisation had not been completed and the management of the cold chain policy did not detail the actions to take if there was a break in the cold chain.
  • Training in safeguarding of children had not been completed to an appropriate level for all staff.

The areas where the provider must make improvement are:

  • Undertaking a risk assessment for the member of staff whose course of hepatitis B immunisations had not resulted in attaining immunity.

  • Ensuring health and safety executive guidance is followed to comply with gas safety regulations.

  • Ensuring staff are briefed and supported by written guidance on details of how to respond to a cold chain incident.

  • Ensuring health care assistants receive the appropriate level of training in safeguarding of children.

  • Ensure a legionella risk assessment is undertaken.

The area where the provider should make improvement is:

  • Ensuring arrangements are in place for patients with a learning disability to receive an annual health check, undertaken by an appropriate provider, and have an agreed care plan in place.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice