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Archived: Dr Rex Obonna Good

Inspection Summary


Overall summary & rating

Good

Updated 10 May 2019

We carried out an announced focused inspection at Dr Rex Obonna on 12 April 2019. This was as part of our ongoing inspection programme and to check the practice had made the improvements we said they should when we last inspected the practice in July 2018.

At the last inspection on 3 July 2018, we rated the practice as requires improvement for providing safe services because:

  • The arrangements to monitor patients who were prescribed high-risk medicines were not always effective.
  • The practice’s system to monitor and record health and safety was not effective and fire safety records were incomplete.

We also rated the practice as requires improvement for providing an effective service for working age people (including those recently retired and students) because:

  • Performance in relation to the detection and monitoring of cancer was lower than average.

At this inspection, we found that the provider had satisfactorily addressed these areas, although the practice should make further improvements to ensure they monitor all high-risk medicines.

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 rated this practice as good overall. (Previous rating July 2018 – Good). We rated the practice as good for providing safe services because:

  • The practice had improved the way they monitored the health of patients prescribed high-risk medicines.
  • They had implemented and improved systems to monitor the risks relating to health and safety and fire safety.

At our previous inspection in July 2018, we told the practice they should review the arrangements for the patient participation group to encourage and act upon the feedback from the group. In April 2019, we also found the practice had tried to improve the arrangements for the patient participation group, to increase membership. They continued to promote the group, both in the practice waiting area and on their website. However, they had failed to recruit any new members. They told us they used other sources of patient feedback, such as surveys, the NHS friends and family tests, complaints and compliments to inform service improvements.

The area where the provider should make improvements is:

  • Develop the approach to monitor patients’ health in relation to the use of medicines to include all high-risk medicines.
  • Improve the focus of significant event analysis to those which will add value to the practice and better support learning and improvement. Implement a periodic review of significant events to identify trends and themes.
  • Take action to increase the uptake of cervical screening to meet the 80% national target.

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

Inspection areas

Safe

Good

Effective

Good

Caring

Good

Responsive

Good

Well-led

Good
Checks on specific services

People with long term conditions

Good

Families, children and young people

Good

Older people

Good

Working age people (including those recently retired and students)

Good

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good