Tangmere Medical Centre

We previously carried out an announced comprehensive inspection at Tangmere Medical Centre on 27 November 2018. The overall rating for the practice was requires improvement. This was because: -

• The practice did not always ensure that action as result of significant events were followed up
• Governance arrangements for the dispensary were not embedded
• Not all staff had the training they required to fulfil their roles effectively.

The full comprehensive report on 27 November 2018 inspection can be found by selecting the ‘all reports’ link for Tangmere Medical Centre on our website at .

After the inspection in November 2018 the practice wrote to us with an action plan outlining how they would make the necessary improvements to comply with the regulations.

We carried out an announced comprehensive follow up inspection at Tangmere Medical Centre on 8 November 2019. At this inspection we followed up on breaches of regulations identified at our previous inspection on.

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 in all five of the key questions. All the population groups are rated as good.

At this inspection we found:

• The practice had systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
• The practice reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
• The practice performed consistently well against national indicators on the quality and outcomes of patient care.
• Staff treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they could access care when they needed it.
• Patient feedback was consistently positive, and the results of the national GP patient survey were higher than the clinical commissioning average in most areas.
• All staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• Governance arrangements for dispensary were operating effectively.

The areas where the provider should make improvements are:

• Implement a central record that provides a clear audit trail of action taken in response to external medicine and patient safety alerts.
• Ensure that dispensing staff receive ongoing clinical training and development.

Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care

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

This practice is rated as requires improvement overall.

The key questions at this inspection are rated as:

Are services safe? – Requires improvement

Are services effective? – Requires improvement

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Requires improvement

We carried out an announced comprehensive inspection at Tangmere Medical Centre on 27 November 2018 as part of our regulatory functions. The inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

At this inspection we found:

• The practice had systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes. However, the practice did not always ensure that action as result of significant events were followed up.
• The practice reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
• Staff treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they could access care when they needed it.
• Patient feedback was consistently positive and the results of the national GP patient survey were higher than the clinical commissioning average in every area.
• Most staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• Governance arrangements for the dispensary needed to be improved.

The areas where the provider must make improvements are:

• Ensure care and treatment is provided in a safe way to patients.
• Ensure persons employed in the provision of the regulated activity receive the appropriate support, training, professional development, supervision and appraisal necessary to enable them to carry out the duties.
• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

The areas where the provider should make improvements are:

• Develop a central record that provides a clear audit trail of action taken in response to external medicine and patient safety alerts.
• Ensure the flooring in the treatment rooms minimises the risk of infection control.

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

Please refer to the detailed report and the evidence tables for further information.