This practice is rated as Requires improvement overall. (Previous rating January 2015 – Good)
The key questions at this inspection are rated as:
Are services safe? – Requires Improvement
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? – Requires Improvement
The population groups in effective were rated good overall.
The population groups in the responsive domain were all rated good.
We carried out an announced comprehensive inspection at Flixton Road Medical Centre on 22 October 2018 as part of our inspection programme
At this inspection we found:
- There were systems in place to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
- The practice routinely reviewed the effectiveness and appropriateness of the care it provided. However, we saw examples where care and treatment had not been delivered according to evidence-based guidelines.
- Systems to manage read coding, prescribing, medical alerts and care planning required improvement in order to ensure consistency and safety.
- The systems to manage medicines safely were not consistently applied.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Patients found the appointment system easy to use and reported that they could access care when they needed it.
- The governance structure did not encourage whole team working. Clinical discussions regularly took place but were not attended by nurses. However, communication about changes or news at the practice was disseminated weekly to reception and nursing staff by newsletter.
- There was a focus on continuous learning and improvement at all levels of the organisation and the practice supported trainee GPs.
The areas where the provider must make improvements are:
- Ensure care and treatment is provided in a safe way to patients
- Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
The areas where the provider should make improvements are:
- Improve meeting minutes to ensure that consistent information is channelled from one meeting to another.
- Improve whole-team working.
- Improve identification of carers
- Improve risk management overall
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.