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Albion Mount Medical Practice Good


Review carried out on 8 July 2021

During a monthly review of our data

We carried out a review of the data available to us about Albion Mount Medical Practice on 8 July 2021. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Albion Mount Medical Practice, you can give feedback on this service.

Review carried out on 25 September 2019

During an annual regulatory review

We reviewed the information available to us about Albion Mount Medical Practice on 25 September 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

Inspection carried out on 20 March 2019

During an inspection looking at part of the service

Inspection carried out on 06/06/2018

During a routine inspection

This practice is rated as Good overall and as Requires Improvement for providing safe services.

The key questions are rated as:

Are services safe? – Requires Improvement

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 Albion Mount Medical Practice on 6 June 2018. This inspection was carried out as Albion Mount Medical Practice is a newly registered provider with the Care Quality Commission.

At this inspection we found:

  • The practice had systems for dealing with safety incidents and near misses. When incidents occurred, the practice learned lessons and made changes to improve processes and reduce risks.
  • There were clear policies and protocols which were accessible to all staff.
  • The practice undertook quality improvement activity to review and improve the effectiveness of care provided. Care and treatment was delivered in line with current evidence based guidance.
  • The practice had made changes to their appointment systems in response to patient feedback. A duty doctor was available each day to cover both sites and deal with urgent or unexpected patient needs.
  • We observed patients receiving kind and compassionate treatment by staff.
  • The leadership team was cohesive with shared goals and vision for the practice. Staff told us they felt supported by GP partners and management.

The areas where the provider should make improvements are:

  • Review and risk assess arrangements for emergency medicines held at the branch site of the practice.
  • Review and improve their approach in relation to Disclosure and Barring Services (DBS) checks for non-clinical staff undertaking chaperone duties.
  • Review and improve staff security at the main site of the practice.
  • Review staff immunisation status in line with Department of Health recommendation.
  • Review and take steps to improve their Quality and Outcomes Framework (QOF) exception reporting rates to ensure, as far as possible, that patients are receiving effective care.
  • Continue to review and enhance their systems to identify and support those patients acting in an unpaid caring capacity.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice