Western Road Medical Centre Also known as Dr D Bass & Partners

We carried out an announced comprehensive inspection at Western Road Medical Centre on the 17 February 2019. At this inspection we rated the practice as good overall and for the key questions of effective, caring, responsive and well-led with the exception of safe, which we rated requires improvement. The full comprehensive report on the inspection can be found by selecting the ‘all reports’ link for Western Road Medical Centre on our website at www.cqc.org.uk.

We carried out an announced focused inspection at Western Road Medical Centre on the 11 June This inspection was carried out to review the actions taken by the practice to improve the quality of care and to confirm whether the practice was providing a safe service and was now meeting legal requirements.

The overall rating for the service is Good.

The key questions are rated as:

Are services safe? Good

At this inspection, we found:

• The practice had put into place a system that provided an overall view to enable the provider to monitor staff training. Staff had completed the necessary training.
• The practice had implemented a system to ensure clinical and non-clinical staff had the appropriate immunisations.
• The practice had reviewed the recruitment procedure to ensure that all the correct documentation was obtained prior to a member of staff commencing work.

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

We carried out an announced comprehensive inspection a Western Road Medical Centre on 12 February 2019 as part of our inspection programme.

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,
• information from the provider, patients, the public and other organisations.

We have rated this practice as good overall and good for all population groups.

We have rated the provider good in effective, caring, responsive and well led because: -

• Patients received effective care and treatment that met their needs.
• 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.
• The practice had a culture which drove high quality sustainable care.
• The GP survey result scored 96% for patient overall experience.

We have rated safe as requires improvement this is because:

• At the time of the inspection the practice did not have an overall view to enable the monitoring of staff training. This had resulted in some staff not completing their mandatory safety training in child safeguarding awareness, infection control, fire and basic life support.

The areas where the provider must make improvements are:

• 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.
• (Please see the specific details on action required at the end of this report).

The areas where the provider should make improvements are:

• Review the governance systems to ensure that the provider can evidence that staff have completed the necessary training, and have had the appropriate immunisations.
• Review the prevention and management infections action plan to ensure progress is monitored and actions completed,
• Review the recruitment procedure all the correct documentation is obtained prior to a member of staff commencing work.
• Review the policies and procedures to ensure that they reflect the staff practices.

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