- GP practice
Archived: Marisco Medical Practice
All Inspections
15 October 2014
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out a comprehensive inspection of the Marisco Medical Practice on 15 October 2014. The inspection team was led by a CQC inspector and included an additional CQC inspector, a GP specialist advisor and a practice manager.
The practice has a branch surgery located in Sutton-on-Sea which was not visited during the course of this inspection.
Our key findings were as follows:
The practice had comprehensive systems for monitoring and maintaining the care and treatment they provide to their patients. There was good use of monitoring templates for patients with long term conditions. The practice was proactive in helping people with long term conditions to manage their health and had arrangements in place to make sure their health was monitored regularly.
The practice engaged with other healthcare providers and professionals to ensure the best health outcomes for their patients.
The practice was clean and hygienic and had robust arrangements for reducing the risks from healthcare associated infections.
Patients said they were treated with dignity and respect. They felt that their GP listened to them and treated them as individuals.
The practice had recognised that there was a lack of patient satisfaction with access to appointments particularly during the peak holiday season due to an increase in the number of temporary residents. There was evidence of on-going monitoring and initiatives to respond to the situation to increase appointment availability although it remained a problem at peak times of the holiday season due to an influx of temporary residents.
Recruitment procedures were not always adhered to, to ensure that staff were suitable to work in a healthcare environment.
Complaints and serious adverse incidents were not managed in a way that ensured learning was embedded and cascaded to staff.
There were no suitable arrangements in place to ensure that the service could continue to operate in the event of events such as fire, flood or loss of essential utilities.
Overall we rated the practice as ‘requires improvement’.
The practice must:
Take action to ensure that recruitment procedures for clinical and non-clinical staff are followed to help ensure that patients are protected from the risks associated with unsuitable staff being employed.
Embed a system for managing and learning from complaints
Ensure that learning from serious adverse events is cascaded to staff to improve learning and help prevent any re-occurrence.
Have in place a contingency and business continuity plan to ensure that patients can continue to receive care and treatment that meets their needs in the event that the practice ceases to function through foreseeable events.
In addition the practice should:
Take action to ensure that containers containing clinical waste are locked at all times when not in use.
Monitor and record refrigerator temperatures in line with the practice’s own policy to ensure the safe storage of medicines.
Have in place a system to ensure that relevant senior staff can access key documents and information held on the computer system when the practice manager was unavailable.
Ensure that patients are not put at risk, by implementing a system whereby GPs view blood test results that may potentially pose a clinical risk.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
During a check to make sure that the improvements required had been made
We asked the provider to send us information about the improvements they had made.
Records showed the majority of staff had received an appraisal in the last 12 months. Where staff had not had an appraisal we saw they were only a month overdue and all these staff had an appointment for an appraisal within March 2014.
There was a list of mandatory training all staff needed to complete yearly. Records showed training had been organised to meet the needs identified.
29 July 2013
During a routine inspection
During our inspection we spoke with seven people who used the service.
People told us they were happy with the care they received when they saw a clinician. One person told us they had a serious illness and the doctors in the practice had been brilliant. They said, 'The service I've had is second to none'Dr X was brilliant, he talked to me and was lovely. He said they would help me the best they can and they have.' People expressed their views and were involved in making decisions about their care. One person said, 'If I don't understand I will ask for an explanation, I've not had any trouble. They often print out information for you to take away.'
At the time of our visit the provider was in the process of recruiting GP's as they had some who had retired or left the practice. This had impacted on the number of appointments available. The practice had recruited three GP's who were due to start in September 2013.
Records showed staff received training, however there was no formal framework for mandatory training for all levels and grades of staff which clearly outlined what was required.
There were systems in place to monitor the quality of service provided.