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Orchard Street Medical Practice - White Good Also known as Orchard Medical Practice

Inspection Summary


Overall summary & rating

Good

Updated 19 July 2018

This practice is rated as good overall. (Previous inspection report published 19 January 2018 - Good).

The key questions are rated as:

Are services safe? Good.

We carried out an announced comprehensive inspection at Orchard Street Medical Practice- White on 27 November 2017 as part of our regulatory functions. The practice was rated as good overall, and requires improvement for providing safe services. We carried out an announced focused inspection on 2 July 2018 to follow up on the breach of regulation identified at the 27 November 2017 inspection. At the 2 July 2018 we inspected the safe key question.

At this inspection we found:

  • All staff received up-to-date safeguarding children and vulnerable adults training appropriate to their role.
  • Appropriate arrangements were in place to manage infection prevention and control.
  • Effective systems and processes were in place to ensure there was oversight and safe management of safety alerts within the practice.
  • Information was available to support carers and staff were aware of the support services available for carers. The practice had written and implemented a carers policy, which staff were aware of.
  • Information about how to make a complaint or raise concerns was easily available at the practice and this information was up-to-date.
  • Annual health checks for people with a learning disability were offered by the practice. The practice currently had 73 patients on the learning disabilities register who were eligible for a health check. From April 2017 to March 2018, 58 of these patients had received a health check, 13 had declined a health check and two patients had recently registered at the practice. The practice continued to work with a learning disability nurse to support patients who had declined a health check.

Professor Steve Field

CBE FRCP FFPH FRCGP

Chief Inspector of General Practice.

Inspection areas

Safe

Good

Updated 19 July 2018

At our previous inspection on 27 November 2017, we rated the practice as requires improvement for providing safe services as the arrangements for infection control, safeguarding and the oversight of safety alerts were not adequate. 

These arrangements had significantly improved when we undertook a follow up inspection on 2 July 2018. The practice is now rated as good for providing safe services.

Safety systems and processes

The practice had systems to keep people safe and safeguarded from abuse.

  • All staff had received safeguarding training appropriate to their role. The practice had worked to develop their training matrix. Training certificates were linked to the training matrix and continuing professional development hours were recorded. Systems were in place to monitor when staff training was due and three months before this date, the practice manager was informed to ensure attendance. Where attendance had not been possible, for example due to staff sickness, the reason for this was documented and a future training date booked.

  • There was an effective system to manage infection prevention and control.

Risks to patients

  • Appropriate arrangements and monitoring were in place for staff to complete basic life support training.

Track record on safety and lessons learned and improvements made

  • The practice acted on and learned from external safety events as well as patient and medicine safety alerts.

Please refer to the Evidence Tables for further information.

Effective

Good

Caring

Good

Responsive

Good

Well-led

Good
Checks on specific services

People with long term conditions

Good

Updated 19 January 2018

Families, children and young people

Good

Updated 19 January 2018

Older people

Good

Updated 19 January 2018

Working age people (including those recently retired and students)

Good

Updated 19 January 2018

People experiencing poor mental health (including people with dementia)

Good

Updated 19 January 2018

People whose circumstances may make them vulnerable

Good

Updated 19 January 2018