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Guy Barrington Staight - Pelham Street

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Inspection report

Date of Inspection: 18 July 2013
Date of Publication: 27 July 2013
Inspection Report published 27 July 2013 PDF | 78.64 KB

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 18 July 2013 and talked with staff.

Our judgement

People experienced care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. People in their feedback about the service commented "I go out of my way to see this doctor". The registered manager told us people rang to make appointments and their individual preferences were taken into account when arranging a time. People were also able to speak to the doctors for advice and emergency requests for appointments were accommodated on the day.

People using the service for the first time completed a registration card which was scanned onto the electronic patient record system. They also completed a medical history form which was reviewed in detail at their appointment. Records seen showed the medical history was reviewed and details of current issues were documented with details of the proposed treatment and follow up evident. The system allowed medical alerts to be set to remind the doctors to follow up on issues.

There were arrangements in place for out of hours medical cover provided either by the registered manager or an out of hours service. We saw the formal signed agreement to provide the cover and records of the providers annual monitoring of the out of hours service.

Care and treatment was planned and delivered in a way that was intended to ensure people’s safety and welfare. The provider ensured risk assessments were completed and arrangements were in place to ensure staff and people's safety. Accidents and incidents were documented and investigated. Staff meetings were used to discuss issues and provide feedback. Agreements and contracts were in place with local independent hospitals and laboratories to ensure diagnostic tests were conducted in appropriate facilities.

There were arrangements in place to deal with foreseeable emergencies. The registered manager told us they had a business continuity plan and could operate if there was any disruption to the location. The practice had an emergency 'grab bag' with oxygen and rebreathing equipment which was regularly checked and maintained. There were emergency policies available and showed evidence of review. Staff had received training in April 2013 in basic life support.