The Care Quality Commission
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Archived: Milton Park Practice

Overall: Good read more about inspection ratings

131 Goldsmith Avenue, Southsea, Hampshire, PO4 8QZ (023) 9273 2578

Provided and run by:
Milton Park Practice

All Inspections

16/07/2015

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We carried out an announced focused inspection of 131 Goldsmith Avenue, Southsea, Portsmouth on 16 July 2015.

Our previous inspection in January 2015 found breaches of regulations relating to the safe and well-led delivery of services.

We found the practice required improvement for the provision of safe and well-led services, and was rated good for providing effective, caring, responsive services.

This inspection was undertaken to check the practice was meeting regulations. For this reason we have only rated the location for the key questions to which these relate. This report should be read in conjunction with the full inspection report of 20 January 2015.

We found the practice had made improvements since our last inspection. At our inspection on the 16 July 2015 we found the practice was meeting the regulations that had previously been breached.

Specifically the practice:

  • Identified, assessed and managed risks relating to the health and safety of patients, staff and visitors. This included health and safety, legionella and fire risk assessments.
  • Ensured the effective operation of systems designed to assess the risk of and to prevent, detect and control the spread of a health care associated infection.
  • Ensured staff received appropriate training, professional development and appraisal.
  • Ensured patient paper records were kept securely and could be located promptly when required.
  • Had procedures in place to ensure a consistent application of medicine’s management processes. This included the management of the security of medicines and prescriptions.

We have amended the rating for this practice to reflect these changes. The practice is now rated good for the provision of safe, effective, caring, responsive and well led services.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

20/01/2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Milton Park Practice on 20 January 2015. We spoke with patients, members of the virtual patient participation group, and staff including the management team.

Overall the practice is rated as requires improvement.

Specifically, we found the practice to require improvement for providing safe and well led services for older people, people with long term conditions, families, children and young people, working age people, people whose circumstances may make them vulnerable and people experiencing poor mental health.

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

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
  • Risks to patients were assessed and well managed, with the exception of those relating to fire safety, health and safety and infection control.
  • Information sharing as defined by best practice guidelines and audit was informal and records were not kept.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • The practice had a register of Military Veteran’s and GPs identified needs such as poor mental health or skin cancer. A GP partner was also the Military Veteran’s champion for the local clinical commissioning group.
  • Information about services and how to complain was available and easy to understand.
  • There was a clear leadership structure and staff felt supported by management.

The areas where the provider must make improvements are:

  • Carry out risk assessments for health and safety, legionella and fire safety.
  • Identify, manage and monitor effective infection prevention and control systems.
  • Ensure medicines and prescriptions are kept securely and only accessible to authorised people.
  • Ensure staff are up to date with the training required to carry out their roles.
  • Store patient paper records in a secure manner.

Action the provider SHOULD take to improve:

  • Update the practice disaster recovery plan.
  • Ensure staff appraisal files are kept securely and only accessible to authorised people.
  • Ensure there is recorded learning and actions taken following significant events.
  • Have systems in place to review policies to ensure they are current and fit for purpose.
  • Implement a review process to evidence that NICE guidance recommendations are followed.

Professor Steve Field (CBE FRCP FFPH FTCGP)

Chief Inspector of General Practice