We carried out a review of the data available to us about St George Health Centre on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about St George Health Centre, you can give feedback on this service.
We carried out an announced review at St George Health Centre on 17 June 2021. The practice is rated as good overall and for safe.
Following our previous inspection on 5 March 2019, the practice was rated Good overall for all key questions except safe. The practice was rated as requires improvement for providing safe services.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for St George Health Centre on our website at www.cqc.org.uk
Why we carried out this review
This review was to follow-up on areas for improvement identified on 5 March 2019 without undertaking a site visit, which were:
Breach of Regulation 12 HSCA (RA) Regulations 2014 Safe care and treatment
The practice did not adequately ensure that care and treatment were provided in a safe way for service users.
Specifically, we found:
How we carried out the inspection/review
Throughout the pandemic, CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our reviews differently.
We requested evidence from the provider and reviewed the information provided, without undertaking a site visit.
Our findings
We based our judgement of the quality of care at this service on a combination of:
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care
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
We carried out an announced comprehensive inspection at St George Health Centre on 9 December 2014. Overall the practice is rated as good.
Specifically we found it good for safe, effective, caring, responsive and well led services. It was also good for providing services for older people, people with long-term conditions, mothers, babies, children and young people, working-age population and those recently retired people in vulnerable circumstances who may have poor access to primary care and people experiencing poor mental health.
Our key findings were as follows:
In addition the provider should:
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice