All inspections: City Health Practice Limited - Marfleet

This practice is rated as Good overall. (Previous inspection May 2017 – Good overall and Requires improvement in well-led)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at City Health Practice Ltd - Marfleet

At this inspection we found:

There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
The practice had systems in place to minimise risks to patient safety.
Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
Some patients told us they had had some difficulty in making an appointment. The practice was aware of this and had put measures in place to address it.
The practice had good facilities and was well equipped to treat patients and meet their needs.
The practice had several policies and procedures to govern activity.
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 the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.

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

We carried out an announced comprehensive inspection at Marfleet Lane Surgery on 3 May 2017. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
The practice had systems in place to minimise risks to patient safety. However we found that procedures to ensure systems were in place to monitor and act on problems were not robust.
Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
Most patients we spoke with said they had had some difficulty in making an appointment even for urgent issues but there was continuity of care. The practice were aware of this and had put measures in place to address it.
The practice had good facilities and was well equipped to treat patients and meet their needs.
The practice had a number of policies and procedures to govern activity, but some were overdue a review.

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 the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.

The areas where the provider should make improvement are:

Carry out clinical audits and re-audits to improve patient outcomes.
Review and update a number of policies, procedures and guidance.
Have systems in place to check that refrigerator temperatures are monitored daily and that any action is taken as necessary.

Chief Inspector of General Practice

Archived: City Health Practice Limited - Marfleet