19 September 2023
During an inspection looking at part of the service
We carried out an announced comprehensive follow up inspection at Phoenix Medical Practice on 19 September 2023. Overall, the practice is rated as Good.
The ratings for each key question are as follows:
Safe – Good
Why we carried out this inspection
We carried out an announced inspection at Phoenix Medical Practice on 10 June 2022. Overall, the practice was rated as Good. We rated the practice as Requires Improvement for providing safe services and Good for providing effective, caring, responsive and well- led services. A breach in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 was found and we issued a Requirement Notice as part of our enforcement action.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Phoenix Medical Practice on our website at www.cqc.org.uk
How we carried out the inspection
This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.
This included:
- Conducting staff interviews using video conferencing.
- Completing clinical searches on the practice’s patient records system and discussing findings with the provider.
- Reviewing patient records to identify issues and clarify actions taken by the provider.
- A short site visit.
Our findings
We based our judgement of the quality of care at this service on a combination of:
- what we found when we inspected
- information from our ongoing monitoring of data about services and
- information from the provider, patients, the public and other organisations.
We have rated this practice as Good overall
We rated the practice as Good for providing safe services because:
- Improvements had been made to ensure an effective approach was applied to the safe care and treatment of patients prescribed medicines that required routine monitoring and those with long-term conditions. Care, as well as treatment was being delivered in line with current legislation, standards and evidence-based guidance.
We checked the areas where the provider should make improvements from our last inspection and found:
- The practice had completed their plan to ensure premises safety. For example, hot water pipe and cleaning risks had now been completed.
- Staff had received the physical aspect of basic life support training.
- The new systems for the checking of emergency equipment and medicines had been fully embedded.
We found no breaches of regulations. However, the areas where the provider should make improvements are:
- Continue to monitor newly implemented policies and procedures to ensure they are embedded effectively.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Health Care