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Oaks Park Medical Centre Good

Reports


Review carried out on 7 January 2022

During a monthly review of our data

We carried out a review of the data available to us about Oaks Park Medical Centre on 7 January 2022. 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 Oaks Park Medical Centre, you can give feedback on this service.

Inspection carried out on 13 May 2021

During an inspection looking at part of the service

We carried out a review of Oaks Park Medical Centre on 13 May 2021 Overall, the practice is rated as Good

Set out the ratings for each key question

Effective - Good

Following our previous inspection on 16 January 2019, the practice was rated Good overall and for the key questions safe, caring, responsive and well-led. The practice was rated requires improvement for providing effective services and issued a requirement notice for Regulation 12 Safe care and treatment.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Oaks Park Medical Centre on our website at www.cqc.org.uk

Why we carried out this review

This review was a focused review of information without undertaking a site visit to follow up on breaches of Regulation12 Safe care and treatment. At the last inspection we found;

  • Child immunisation rates were below the World Health Organisation target.
  • Patients with long term conditions, mental health and cervical screening data were below the local and national averages.

We also followed up on ‘should’ actions identified at the last inspection. Specifically;

  • Complete induction checklists for all new staff.
  • Continue to monitor and act upon patient accessibility with telephone access.

How we carried out the review

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our reviews differently.

This review was carried out without visiting the location by requesting documentary evidence from the provider.

Our findings

We found that:

The practice had made the necessary improvements to ensure care and treatment was provided in a safe way to patients;

  • Childhood immunisation figures had improved since the last inspection.
  • Patients with long term conditions, mental health and cervical screening data had also improved since the last inspection.

The practice had continued to monitor and act upon patient accessibility with telephone access.

Whilst we found no breaches of regulations, the provider should:

  • Continue to monitor and Improve cervical screening uptake to bring in line with the England average.
  • Continue to monitor Personalised Care Adjustments (PCA) rates ensuring the practice is exploring all possible options to engage with patients.

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

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

During a routine inspection

We carried out an announced comprehensive inspection at Oaks Park Medical Centre on 16 January 2019 as part of our inspection programme.

At the last inspection in November 2016 we rated the practice as requires improvement for providing safe services because:

  • They had failed to check fire alarms and failed to ensure all clinical staff had medical indemnity insurance in place.
  • They had failed to ensure that persons providing care or treatment to service users had the qualifications, competence, skills and experience to do so safely.
  • Some staff had not undergone training in fire safety, health and safety, infection prevention and control, basic life support or information governance.
  • An induction checklist was in place for newly recruited staff; however, these were not always being completed.

At this inspection, we found that the provider had satisfactorily addressed these areas, with the exception of the completion of induction checklist for some newly recruited staff.

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 requires improvement for effective.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

We rated the practice as requires improvement for providing effective services because:

  • Childhood immunisation uptake rates were below the World Health Organisation (WHO) targets.
  • Patients with long term conditions, mental health and cervical screening data were below the local and national averages.

The areas where the provider must make improvements as they are in breach of regulations are:

  • Ensure care and treatment is provided in a safe way to patients.

There were areas where the provider should make improvements are:

  • Complete induction checklists for all new staff.
  • Continue to monitor and act upon patient accessibility with telephone access.

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

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice