The Care Quality Commission
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  • GP practice

Archived: Coventry Road Medical Centre

Overall: Good read more about inspection ratings

448 Coventry Road, Small Heath, Birmingham, West Midlands, B10 0UG (0121) 773 5390

Provided and run by:
Coventry Road Medical Centre

Important: The provider of this service changed. See new profile

All Inspections

19 August 2016

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We carried out an announced focused inspection at Coventry Road Medical Practice on 19 August 2016. Overall the practice is rated as good.

During our previous inspection of the practice on 15 October 2015 the practice was rated requires improvement for the safe domain. The practice was issued with a two requirement notices for breaches in regulation 12 (Safe care and treatment) and regulation 19 (Fit and proper persons employed) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

This inspection was to review the action taken by the provider to meet the regulatory requirements where we had identified breaches and to report on the action taken. For this reason we have only rated the location for the safe domain. The report should therefore be read in conjunction with the full inspection report published in March 2016.

At this inspection we found the practice had made changes since their previous inspection in October 2015. We found that sufficient action had been taken regarding the issues identified and that the practice was now meeting the requirements of the breaches identified. This meant that the practice was now rated as good in safe domain. All other domains were previously rated as good.

Specifically we found that since the last inspection, the practice had:

  • The practice had ensured the recruitment policy was being properly implemented to make certain that all necessary employment checks for staff such as evidence of satisfactory conduct in previous employment were being carried out. We saw evidence to demonstrate that these processes were being followed.
  • The practice had fully assessed the decision to not keep some nationally recommended emergency medicines at the practice. Alternative arrangements with a local pharmacy were in place.
  • The practice had carried out a risk assessment related to the decision not to carry emergency medicines when undertaking home visits. Alternative formal arrangements with a local pharmacy were in place.
  • Risks to patients were assessed and well managed. A legionella risk assessment had recently been completed and the practice were in the process of implementing the recommendations.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

15 October 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Coventry Road Medical Centre on 15 October 2015. Overall the practice is rated as good.

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

  • Staff we spoke with understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. We saw evidence to demonstrate that learning was shared amongst staff.
  • Risks to patients were assessed and well managed, with the exception of those relating to recruitment checks.
  • 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 we spoke with told us they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment. However, results from the national GP patient survey from 2 July 2015 showed that patient’s responses were mixed. Satisfaction scores in relation to consultations with doctors and nurses were lower than local and national averages
  • Information for patients about how to complain was not displayed in waiting areas although information was found in the practice leaflet. Patients we spoke with were unaware of the process to follow if they wished to make a complaint.
  • Same day appointments were available for children and those with serious medical conditions.
  • There was a clear leadership structure in place and staff we spoke with were motivated and felt supported by management. The practice had sought feedback from patients and had an active patient participation group in place.
  • The practice had been a training practice for over eight years and three of the partners were qualified as GP trainers.

The areas where the provider must make improvements are:

  • Ensure a risk assessment is carried out to determine if it is safe to not keep nationally recommended emergency medicines at the practice. Risk assessments also need to be in place for not carrying medications when undertaking home visits.

  • Ensure recruitment arrangements include all necessary employment checks for all staff such as evidence of satisfactory conduct in previous employment.

In addition the provider should:

  • Consider how patient feedback from the national patient survey is used to support improvement at the practice.

  • Consider making information about how to complain more accessible for patients and keep records of verbal complaints receivedto ensure any trends can be easily identified

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice