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Ailsa Craig Medical Centre Good

Inspection Summary


Overall summary & rating

Good

Updated 28 November 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Ailsa Craig Medical Centre on 13 August 2015. The overall rating for the practice was good, with a requires improvement rating for the key question of safe and we issued a requirement notice for breaches of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (Good governance). The full comprehensive report on the August 2015 inspection can be found by selecting the ‘all reports’ link for Ailsa Craig Medical Centre on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 1 November 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach identified in the requirement notice.

Overall the practice is now rated as good, with the previous rating of requires improvement for the key question of safe updated to a rating of good.

Our key findings were as follows:

  • Staff had annual appraisals to support them in performing their duties.

  • Staff used a clear reporting process for serious events and complaints and had the opportunity to learn from these events.

  • An improved system was in use to manage infection prevention and control and to manage medicines in order to keep patients safe.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection areas

Safe

Good

Updated 28 November 2017

At our previous inspection on 13 August 2015, we rated the practice as requires improvement for providing safe services as the understanding of how to raise concerns, and how to report incidents was inconsistent among the staff. Information about safety was recorded, monitored, reviewed and addressed but this was done in an informal way between clinical staff and meetings were not minuted. Although risks to patients who used services were assessed, not all the systems and processes to address these risks were implemented well enough to ensure patients were kept safe. We found a number of clinical apparatus which were out of date and had not been appropriately disposed of.

These arrangements had improved when we undertook a

desk-based review

on 1 November 2017. The practice is now rated as good for providing safe services.

  • We saw evidence that staff had annual appraisals to support them in performing their duties.

  • Staff used a clear reporting process for serious events and complaints and had the opportunity to learn from these events.

  • An improved system was in use to manage infection prevention and control and to manage medicines in order to keep patients safe.

Effective

Good

Updated 28 November 2017

Caring

Good

Updated 28 November 2017

Responsive

Good

Updated 28 November 2017

Well-led

Good

Updated 28 November 2017

Checks on specific services

People with long term conditions

Good

Updated 28 November 2017

The provider had resolved the concerns for safety identified at our inspection on 13 August 2015 which applied to everyone using this practice, including this population group. The overall population group ratings have not been impacted and the rating for this group remains the same. The specific findings relating to this population group can be found in our original report which can be accessed

by selecting the ‘all reports’ link for Ailsa Craig Medical Centre on our website at www.cqc.org.uk.

Families, children and young people

Good

Updated 28 November 2017

The provider had resolved the concerns for safety identified at our inspection on 13 August 2015 which applied to everyone using this practice, including this population group. The overall population group ratings have not been impacted and the rating for this group remains the same. The specific findings relating to this population group can be found in our original report which can be accessed

by selecting the ‘all reports’ link for Ailsa Craig Medical Centre on our website at www.cqc.org.uk.

Older people

Good

Updated 28 November 2017

The provider had resolved the concerns for safety identified at our inspection on 13 August 2015 which applied to everyone using this practice, including this population group. The overall population group ratings have not been impacted and the rating for this group remains the same. The specific findings relating to this population group can be found in our original report which can be accessed

by selecting the ‘all reports’ link for Ailsa Craig Medical Centre on our website at www.cqc.org.uk.

Working age people (including those recently retired and students)

Good

Updated 28 November 2017

The provider had resolved the concerns for safety identified at our inspection on 13 August 2015 which applied to everyone using this practice, including this population group. The overall population group ratings have not been impacted and the rating for this group remains the same. The specific findings relating to this population group can be found in our original report which can be accessed

by selecting the ‘all reports’ link for Ailsa Craig Medical Centre on our website at www.cqc.org.uk.

People experiencing poor mental health (including people with dementia)

Good

Updated 28 November 2017

The provider had resolved the concerns for safety identified at our inspection on 13 August 2015 which applied to everyone using this practice, including this population group. The overall population group ratings have not been impacted and the rating for this group remains the same. The specific findings relating to this population group can be found in our original report which can be accessed

by selecting the ‘all reports’ link for Ailsa Craig Medical Centre on our website at www.cqc.org.uk.

People whose circumstances may make them vulnerable

Good

Updated 28 November 2017

The provider had resolved the concerns for safety identified at our inspection on 13 August 2015 which applied to everyone using this practice, including this population group. The overall population group ratings have not been impacted and the rating for this group remains the same. The specific findings relating to this population group can be found in our original report which can be accessed

by selecting the ‘all reports’ link for Ailsa Craig Medical Centre on our website at www.cqc.org.uk.