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Archived: Bretton Medical Practice

Overall: Good read more about inspection ratings

Rightwell East, Bretton, Peterborough, Cambridgeshire, PE3 8DT (01733) 264506

Provided and run by:
Bretton Medical Practice

All Inspections

22 September 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out a desk based review for Bretton Medical Practice on 22 September 2016. This was to follow up on actions we asked the provider to take after our announced comprehensive inspection on 1 February 2016. 

During the inspection in February 2016, we identified that the provider must improve;

  • health and safety risk assessments of the environment  
  • procedures for checking incoming patient health information records
  • the role of the infection control lead and the scope and frequency of infection control audits
  • documented care plans for patients at risk of unplanned hospital admissions that can be accessed by other health professionals.

The practice wrote to tell us about the action they would take to comply with Regulation 12 Safe care and treatment. We reviewed the evidence they sent us and found the improvements had been completed.

The overall rating for the practice is good. You can read our previous report by selecting the ‘all reports' link for on our website at www.cqc.org.uk

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

1 February 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Bretton Medical Practice on 1 February 2016. Overall the practice is rated as requires improvement.

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.
  • Risks to patients were assessed and managed although some areas of risk required improvement.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had 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.
  • Patients said they had difficulties getting through on the telephone but had access to urgent appointments when they needed them. Some patients told us they also had difficulty booking non urgent appointments with a GP.

  • 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.

The areas where the provider must make improvement are:

  • Ensure that health and safety risk assessments of the environment are completed so that action is taken to mitigate any risk to the health and safety of staff and service users.

  • Implement a clear protocol that is followed by staff who check incoming patient health information records to ensure that relevant information is seen and actioned by a GP.

  • Improve the scope and frequency of infection control audits to prevent the spread of infection. Develop the role of the infection control lead in the ongoing assessment and management of infection control risks.

  • Ensure that patients at risk of unplanned admissions to hospital have a documented care plan that is accessible to other health care providers.

The areas where the provider should make improvement are:

  • Improve records of the safeguarding meetings, prescribing meetings and the records of meetings referring to safety incidents.

  • Review the process used by the nurses when completing safety checks on clinical equipment.

  • Review the monitoring procedures to ensure that all staff complete key training.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice