This practice is rated as Good overall. (Previous inspection June 2017 – Good overall, with requires improvement rating for providing Safe services).
The key question is rated as:
Are services safe? – Good
We carried out a focused inspection at The Spires Health Centre on 1 June 2018. This inspection was in response to previous comprehensive inspection at the practice in June 2017, where breaches of the Health and Social Care Act 2008 were identified. You can read the report from our last comprehensive inspection on 29 June 2017; by selecting the 'all reports' link for The Spires Health Centre on our website at www.cqc.org.uk.
At this inspection we found:
The practice had reviewed their system for receiving and managing alerts including those from the Medical and Healthcare products Regulatory Agency (MHRA) and had strengthened their processes to ensure alerts were managed and actioned appropriately.
The practice had clear systems to manage risk so that safety incidents were less likely to happen. Since the last inspection the practice had completed a range of risk assessments to identify and manage risks appropriately. When incidents did happen, the practice learned from them and improved their processes.
- The practice had established processes to increase the identification of carers in order to provide further support where needed. This included staff training.
- A review of the induction programme had been completed to ensure new staff received training on infection prevention and control.
- A review of the complaints process had been completed to ensure verbal complaints were logged and discussed with the team and to monitor any trends through analysis. The practice also shared relevant complaints through a reporting incident web tool to the clinical commissioning group.
- The practice continued to try and encourage patients to join the patient participation group and had seen a small increase in patients expressing an interest. The practice had asked the CCG for advice on how to improve patient uptake and notices were on display in the waiting room encouraging patients to join and the date of the next meeting.
- The practice’s outcomes for national screening programmes continued to be low in comparison to national averages, however the practice was able to demonstrate how they monitored patients’ attendance for screening and they systems they had in place to follow up patients who did not attend.
- Since the last inspection the practice had reviewed their governance arrangements to ensure they were embedded within the team.
- The practice had implemented a prescription logging system to ensure all blank prescription pads were recorded before being used for home visits. The practice had also updated their prescription security protocol.
The areas where the provider should make improvements are:
- Continue to encourage patients to attend screening programmes.
- Continue to review the process to increase interest in patient participation group.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice