Archived: Dr Neamat Nawrooz Also known as Adlington Medical Centre

During our inspection in May 2014 we identified concerns with how the provider had recruited and employed staff. An additional outcome was added to the follow up inspection to take account of these findings.

During our inspection in May 2014 we saw the provider had recruited a practice manager to work four days each week. Their role included responsibility for staff training arrangements and carrying out appraisals.

At this inspection we reviewed the action plan presented to CQC following the inspection in October. We found a system for recording and sharing information from significant events had been reintroduced.

Patients we spoke with all said the practice met their health needs. One patient said, 'When I need an appointment I can always get one, the doctor has even visited me at home when need be. '

Patients we spoke with all said they had confidence in the doctor and her team. Everybody we spoke with said they felt safe during treatment and clinics. We did not speak to anyone who said they had ever had cause to complain. One patient said, 'It's brilliant here, I know I'm in capable hands.'

Practice meetings had been monthly until April but only one had taken place since. We were told they were due to begin again shortly. Practice meetings are important for staff and management to formally discus and review practice delivery. They are an important forum to share information and raise any concerns.

The absence of collated responses from staff and patients on their views of the practice did not give assurances that the practice was meeting the needs of the community it was serving.