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Brighton Station Health Centre Good

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 6 August 2019

We carried out an announced comprehensive inspection at Brighton Station Health Centre on 27 June 2018 as part of our inspection programme. The overall rating for the practice was requires improvement, with a requires improvement rating for effective and well led. The full comprehensive report on the June 2018 inspection can be found by selecting the ‘all reports’ link for Brighton Station Health Centre on our website at www.cqc.org.uk.

This inspection was an announced comprehensive inspection carried out on 5 June 2019 to confirm that the practice had addressed the issues identified in requirement notices following the June 2018 inspection. Requirement notices had been issued against regulation 17 (good governance) and regulation 18 (staffing) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. During the course of the planning for the inspection it was apparent that a number of changes had been made to the service so a second day of inspection was scheduled to enable the gathering of further information and evidence.

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 good for all population groups.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • 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 made improvements in the governance of the service, including in relation to recording and maintaining patient multi-disciplinary care records.
  • Feedback from patients about access to the service was not always positive, however the service had developed with a view to improving the patient experience. This included the development of the Practice Plus triage service.
  • At our previous inspection we found that there had been insufficient staff to ensure that certain areas of care were sufficient, for example in relation to cancer screening and childhood immunisations. At this inspection we found that some improvements to staffing had been made, including more consistent medical and nursing cover. There was evidence of improvements to both cancer screening and childhood immunisations, however figures were still below average.
  • At our previous inspection we found that the practice did not have an active patient participation group. At this inspection we found that a group had been developed and that patients felt listened to and able to contribute to the management of the service.

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

  • Continue to work to improve the uptake of cancer screening.
  • Continue to work to improve the uptake of childhood immunisations.
  • Maintain a record of when action in relation to safety alerts has been completed.
  • Review patients in relation to those outside of the expected range of diabetes control with a view to making improvements.
  • Continue to work to improve QOF exception reporting.
  • Continue to work with the patient participation group to review patient satisfaction with the service.

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