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Archived: Woosehill Medical Centre Good

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Reports


Inspection carried out on We have not revisited Woosehill Medical Centre as part of this review because they were able to demonstrate that they were meeting the standards without the need for a visit.

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Woosehill Medical Centre on 23 September 2016. The overall rating for the practice was good. However, the practice was rated requires improvement for the provision of caring services. We identified a breach in regulation relating to seeking, and acting upon, patient feedback in regard to the provision of caring services. At that time patient feedback was below national averages. The full comprehensive report on the September 2016 inspection can be found by selecting the ‘all reports’ link for Woosehill Medical Centre on our website at www.cqc.org.uk.

This inspection was an announced desk-based review carried out on 19 May 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 23 September 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

The practice is now rated as good for provision of caring services and the overall rating of good remains unchanged.

Our key findings were as follows:

  • The practice had conducted a patient satisfaction survey and received 124 responses.
  • Feedback regarding provision of caring services showed improvement.
  • The practice had appointed new GP partners and was expanding the clinical team to further improve services.
  • Nurses we spoke to on the telephone were aware of the requirements for taking consent for patients aged under 16 in accordance with guidance and legal requirements.

The actions and improvements undertaken by the practice were now ensuring that requirements relating to provision of caring services were being met

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 23 September 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Woosehill Medical Centre on 23 September 2016. 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 an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed.

  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Patients were complimentary about how they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients said they found that making an appointment with a named GP had improved since the practice had reorganised the appointments system. A more stable team of GPs was also in post which facilitated continuity of care, with urgent appointments available the same day.
  • The practice had spacious, good facilities and was well equipped to treat patients and meet their needs.
  • 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 and complied with the requirements of the duty of candour.
  • Practice nursing staff were well trained to carry out their clinical tasks. However, their awareness of requirements in seeking consent from patients who may not have capacity to understand their treatment, and those under the age of 16 was inconsistent.
  • Patient feedback from the last national patient survey showed patients rated the care they received from the previous team of GPs lower than other practices. The practice had not sought feedback on the care received since the establishment of the current GP team to assess whether patient opinion had improved.

The area where the provider must make improvement is:

  • Ensure the views of patients are sought and acted upon in regard to the care and attention they receive from GPs and nurses.

The areas where the provider should make improvement are:

  • Update nursing staff on legal requirements surrounding consent from patients under the age of 16 and those who might not have the capacity to understand their treatment. Nursing staff sought GP support when they encountered these situations.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice