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Teehey Lane Medical Centre - Dr. M Salahuddin Good

All reports

Inspection report

Date of Inspection: 8 January 2014
Date of Publication: 4 February 2014
Inspection Report published 04 February 2014 PDF

Staff should be properly trained and supervised, and have the chance to develop and improve their skills (outcome 14)

Not met this standard

We checked that people who use this service

  • Are safe and their health and welfare needs are met by competent staff.

How this check was done

We carried out a visit on 8 January 2014, observed how people were being cared for, talked with people who use the service and talked with staff. We talked with commissioners of services and were accompanied by a specialist advisor.

Our judgement

Suitable arrangements were not in place to demonstrate that all staff were appropriately supported in relation to their responsibilities by receiving appropriate training, supervision and appraisal.

Reasons for our judgement

We talked to the practice manager and staff about the induction process for new staff. This included introduction to the premises and policies and procedures. We saw evidence that demonstrated two recently employed staff had received an induction.

The practice manager reported that all staff had an annual appraisal. This was confirmed by the nurse and health care assistant spoken with. However, we found that this was not formally recorded. There were also no formal on-going supervision or one to one meetings documented. Recorded one to one supervision and appraisals would enable staff to be aware of their general performance as well as allow them to express their wishes in respect of their professional development. A nurse spoken with told us they had various clinical and professional meetings which allowed for regular informal supervision. The manager reported that the GPs had an annual appraisal which included feedback on their performance by patients and other professionals.

A nurse and health care assistant spoken with reported that they were up to date with their mandatory training. This training included aspects of health and safety, safeguarding and cardiopulmonary resuscitation (CPR). Clinical staff were required to maintain their own professional registration including meeting the requirements for training and professional development. Nurses and GPs held their own records of training in respect of their professional development. The reception staff spoken with had attended health and safety training such as basic life support, however the personnel files of two reception staff showed no documented evidence of training provided.

We found that a training needs analysis had not been undertaken and a training plan had not been put in place for all staff. There was also not a system in place for monitoring and management of compliance with training requirements for all staff. This was important for ensuring the on-going professional development and competence of all staff employed at the service.

Staff we spoke to told us how they felt well supported by the practice manager and the GP’s. They told us they all work well together and as a team. There was a whistleblowing policy and procedures in place. Staff we spoke to told us they felt confident in reporting any issues.