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Inspection Summary


Overall summary & rating

Good

Updated 7 January 2019

We carried out an announced comprehensive inspection at Poplar House on 6 December 2018 as part of our inspection programme. Our inspection team was led by a CQC inspector and included a GP specialist advisor.

At the last inspection published in September 2015 we rated the practice as good overall.

Our judgement of the quality of care at this service is based 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.

The practice is rated as good overall.

We rated the practice as

requires improvement

for providing safe services because:

  • The practice did not have safe and effective systems and processes to recruit staff.

This means that:

  • People who used the service were generally protected from avoidable harm and abuse, however legal requirements in relation to recruitment of staff, were sometimes not met.
  • Patients had good outcomes because they received effective care and treatment that met their needs.
  • Patients were supported, treated with dignity and respect and were involved as partners in their care.
  • Patients’ needs were met by the way in which services were organised and delivered.
  • The leadership, governance and culture of the practice promoted the delivery of high quality person-centred care.

There were areas where the provider

must

make improvements:

  • Ensure recruitment procedures are established and operated effectively to ensure only fit and proper persons are employed. Ensure specified information is available regarding each person employed.

There were areas where the provider

should

make improvements:

  • Improve the recording and documentation of discussions at safeguarding meetings.
  • Improve management oversight of professional registration, staff immunisations and medical safety alerts.
  • Improve the records kept in relation to complaints to include those made verbally.

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

Inspection areas

Safe

Requires improvement
Checks on specific services

People with long term conditions

Good

Families, children and young 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