Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at The Wellington Health Centre on 2 December 2014. Overall the practice is rated as Good.
Specifically, we found the practice to be good for providing, effective, caring, responsive and well-led services. It was also good for providing services to the six population groups we looked at: older people; people with long-term conditions; families, children and young people; working age people (including those recently retired and students); people whose circumstances may make them vulnerable; and people experiencing poor mental health (including people with dementia).
We found the practice requires improvement for providing safe services.
Our key findings were as follows:
- The practice worked in collaboration with other health and social care professionals to support patients’ needs and provided a multidisciplinary approach to their care and treatment.
- The practice promoted good health and prevention and provided patients with suitable advice and guidance.
- The practice provided a caring service. Patients indicated that staff were caring and treated them with dignity and respect. Patients were involved in decisions about their care.
- The practice provided appropriate support for end of life care and patients and their carers received good emotional support.
- The practice understood the needs of its patients and was responsive to these. It recognised the needs of different groups in the planning of its services.
- The practice learned from patient experiences, concerns and complaints to improve the quality of care.
However, there were also areas of practice where the provider needs to make improvements.
Importantly, the provider must:
- Ensure training records are fully completed to ensure patients are fully protected from the risks of unsafe or inappropriate care and treatment by the accurate maintenance of records about staff employed to carry out the regulated activities.
- Put in place arrangements to ensure medicine stocks are managed safely.
In addition the provider should:
- Arrange for all staff to receive formal training in safeguarding of vulnerable adults.
- Ensure the assurances provided to the local PHE/NHS England immunisations coordinator are adhered to and the policy for ensuring medicines are kept at the required temperatures is followed at all times.
- Take steps to raise staff awareness of the Mental Capacity Act 2005 especially in relation to understanding of deprivation of liberty safeguards (DOLs).
- Communicate the practice’s chaperone policy more clearly to patients in clinical areas.
- Ensure non-clinical staff who occasionally act as chaperones undergo a criminal records check.
- Complete a documented risk assessment stating the rationale for not carrying out a criminal records check for some non-clinical staff.
- Formally record the checks of medicine expiry dates and medical emergencies equipment. In addition, all staff trained to deal with medical emergencies should receive annual update training to fully meet UK Resuscitation Council guidelines.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice