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Archived: Lancelot Medical Centre Good

The provider of this service changed - see new profile

Reports


Inspection carried out on 10 May 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Lancelot Medical Centre on 18 September 2015. The overall rating for the practice was requires improvement. The full comprehensive report of the 18 September 2015 inspection can be found by selecting the ‘all reports’ link for on our website at www.cqc.org.uk.

This inspection was carried out to check that action had been taken to comply with legal requirements, ensure improvements had been made and to review the practice's ratings. Overall the practice is now rated as good.

Our key findings were as follows:

  • There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
  • The practice had clearly defined and embedded systems to minimise risks to patient safety.
  • Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
  • Recent feedback from patients were positive. Patients said they were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment. The service was accessible.
  • Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients we spoke with said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The practice had addressed the concerns identified at our previous inspection, for example, it had improved the layout of the waiting area to protect patient confidentiality.

The areas where the provider should make improvement are:

  • The practice should introduce a process to monitor that relevant safety alerts are actioned.
  • The practice should review areas of performance where its exception reporting is above average to ensure that patients are being appropriately monitored over time.
  • The practice should continue to proactively identify patients who are carers to ensure they receive appropriate support and their needs are met.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Inspection carried out on 18 September 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Lancelot Medical Centre on 19 September 2015. Overall the practice is rated as requires improvement.

Our key findings across all the areas we inspected were as follows:

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment. However, patient confidentiality was not always protected.
  • Information about services and how to complain was available and easy to understand.
  • Patients said it was difficult to make appointments and this was reflected in the practice’s national GP patient survey results.
  • The practice had adequate premises and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and most staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.

The areas where the provider must make improvement are:

  • The practice must ensure that patient confidentiality is protected and patients can speak privately in consultations.

The areas where the provider should make improvement are:

  • The practice should review its appointment system to ensure that patients have adequate access to the service.

  • The practice should increase the number of patients on the mental health register who have had a face to face review.

  • The practice should consider expanding the range of written information available in other languages.

  • The practice should set up a patient participation group as an additional source of learning and improvement.

  • Review ways to improve patient experience in relation to the phlebotomy clinic.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice