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Archived: Care UK - Wycombe Minor Injuries and Illness Unit Good

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Inspection Summary


Overall summary & rating

Good

Updated 8 November 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Care UK – Wycombe Minor Injuries and Illness Unit on 13 December 2016. The overall rating for the service was requires improvement. Specifically the service was rated good for provision of effective, caring and responsive services and requires improvement for provision of safe and well-led services. The full comprehensive report on the December 2016 inspection can be found by selecting the ‘all reports’ link for Care UK – Wycombe Minor Injuries and Illness Unit on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 26 September 2017 to confirm that the service 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 13 December 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.Overall the service is now rated as good overall with provision of both safe and well-led services re-rated to good.

Our key findings were as follows:

  • Reception staff had been trained to undertake initial assessment of priority for walk in patients and followed an assessment protocol. Clinical staff were available to support the assessment process when needed. The provider was in the process of recruiting clinical navigators to support initial assessment and the recording of baseline clinical measurements for walk in patients.
  • Information about how to make a complaint was carried in the vehicles used to carry staff to home visits.
  • Prescribing of high risk medicines followed the providers prescribing policy and there were checks in place to ensure this happened.
  • Performance in relation to national quality requirements was improving.
  • Blank prescriptions were held safely and there was a system to track them through to issuing.
  • A system was in place to monitor the training and appraisals of sub-contracted staff. The system also gave the provider assurance that staff maintained their professional registrations and updated their Disclosure and Barring service (DBS) checks. (DBS checks identify whether a person has a criminal record or is on an official list of people barred from working in roles where they may have contact with children or adults who may be vulnerable).

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection areas

Safe

Good

Updated 8 November 2017

The service had taken appropriate action and is now rated as good for the provision of safe services.

  • Reception staff had been trained in assessing the priority of walk in patients and support from clinical staff was available when required.
  • Prescriptions were stored securely and monitored to point of issuing.
  • There was a system to ensure all staff working at the centre were appropriately registered and received mandatory training and appraisal.

Effective

Good

Updated 8 November 2017

Caring

Good

Updated 8 November 2017

Responsive

Good

Updated 8 November 2017

Well-led

Good

Updated 8 November 2017

The service had taken appropriate action and is now rated as good for the provision of well-led services.

  • Governance systems were operated consistently.
  • There were appropriate arrangements in place to identify, assess and manage risks.