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Audlem Medical Practice Good

Inspection Summary


Overall summary & rating

Good

Updated 28 February 2020

We carried out a comprehensive inspection of Audlem Medical Practice on 19 December 2018. We rated the practice Good overall but Requires Improvement for providing safe services because there were breaches of regulations. The breaches were:

  • Regulation 12 Safe Care and Treatment, as the provider could not demonstrate the clinical reason why some medicines had been prescribed. The provider had failed to ensure that clinical records were maintained. A record of the consultation, outcome and treatment had not been recorded in patients’ clinical records. There was no system in place to audit clinical records to offer assurance that patients care and treatment was safe and appropriate.
  • Regulation 13 Safeguarding, as some clinicians had not received up to date safeguarding training appropriate to their role.

We also recommended that the practice should:

  • Continue to monitor the level of exception reporting at the practice and review changes made to the recall system to offer assurance that more patients are being reviewed and receiving appropriate treatment.
  • The safeguarding policy and procedure should be reviewed and amended to include information and guidance with regard to female genital mutilation (FGM), modern slavery and child sexual exploitation.
  • Regular reviews of the new system being put in place to offer a structured and formal monitoring and supervision system for the advanced nurse practitioners (ANPs) and salaried GPs should take place to offer assurance that the treatment being provided is safe and appropriate.
  • The system in place to monitor and check that patient group directives (PGDs) were appropriately authorised to enable staff to administer medicines should be reviewed to ensure all have the required authorisation.
  • Suitable infection control training should be provided to the designated infection control lead.

At this desk based follow up inspection 6 February 2020, we found that the provider had satisfactorily addressed these areas and therefore the practice is now rated as good for providing safe services.

We based our judgement of the quality of care at this service on a combination of:

• information from our ongoing monitoring of data about services and

• information from the provider, patients, the public and other organisations.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Inspection areas

Safe

Good

Effective

Good

Caring

Good

Responsive

Good

Well-led

Good
Checks on specific services

People with long term conditions

Good

Families, children and young people

Good

Older people

Good

Working age people (including those recently retired and students)

Good

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good