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Inspection Summary


Overall summary & rating

Good

Updated 7 March 2019

We carried out an announced comprehensive inspection at Alcester health on 20 November 2018 as part of our inspection programme. At the previous inspection on 28 January 2016 the practice was rated as good overall.

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 and good for all population groups.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • There were clearly defined systems, processes and practices in place to keep people safe and safeguarded from abuse and for identifying and mitigating risks of health and safety.
  • For patients with the most complex needs GPs worked with other health and care professionals to deliver a coordinated package of care.
  • Patients received effective care and treatment that met their needs, although improvement was needed to the process for monitoring patients’ health in relation to the use of high risk medicines.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • Patients could access care and treatment in a timely way.
  • Patients with long-term conditions had a structured annual review to check their health and medicines needs were being met. However, not all patients had been included within the scope for prediabetes checks.
  • The practice provided support for vulnerable patients which included patients who had been excluded from traditional general practice and service veterans.
  • There were comprehensive policies and procedures to support best practice.
  • There were clear responsibilities, roles and systems of accountability to support effective governance.

Whilst we found no breaches of regulations, the provider should:

  • Review the system to ensure that all secondary care monitoring of patients taking high risk medicines is recorded on patient records.
  • Develop formal record to show corroboration of the various safeguarding registers.
  • Reviews of actions taken in relation to significant events and complaints should be conducted to ensure that all learning and changes made have been fully embedded.
  • The scope of the pre-diabetes register should be widened so that all patients are included as recommended in best practice guidance.
  • Two cycle audits should be completed to further improve quality monitoring.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Inspection areas

Safe

Good

Effective

Good

Caring

Good

Responsive

Good

Well-led

Good
Checks on specific services

People with long term conditions

Good

Families, children and young people

Good

Older people

Good

Working age people (including those recently retired and students)

Good

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good