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St George Health Centre Good

Inspection Summary


Overall summary & rating

Good

Updated 29 April 2019

We carried out an announced comprehensive inspection at St George Health Centre on 5 March 2019 as part of our inspection programme.

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. We have rated the practice as Good for the provision of effective, caring, responsive and well-led care, and as Requires Improvement for the provision of safe care. All the population groups were rated as good.

We rated the practice as requires improvement for providing safe care because:

  • On the day of our inspection not all emergency medicines where in date and ready to use, and there was no risk assessment to support that the practice had assessed they did not require to hold paediatric pads available for use with the defibrillator.

  • On the day of our inspection the practice did not consider that training in the Mental Capacity Act or competence to give consent to be mandatory for all clinicians, as recommended in recognised guidance and there was no evidence that two clinicians had received such training.

  • There was no clear system of clinical supervision and support available for nursing staff.

  • There was no evidence that patients being seen by a health care assistant as part of a mental health service had been assessed by a clinician as being appropriate to be seen by the health care assistant.

We rated the practice as good for providing caring, effective, responsive and well-led care because:

  • 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 previous provider’s exception reporting rate was reported as significantly higher than average across a range of performance measurements. However, the practice identified this as an area of improvement and unverified quality monitoring data showed significant improvement across all domains and exception reporting in 2018/19.

The areas where the provider must make improvements are:

  • Ensure that care and treatment is provided in a safe way.

The areas where the provider should make improvements are:

  • The provider should ensure that appropriate standards for the management of sharps are maintained.

(Please see the specific details on action required at the end of this report).

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BS BM BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Inspection areas

Safe

Requires improvement

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