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Stuart Crescent Medical Practice Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 17 March 2020

We decided to undertake an inspection of this service following our annual review of the information available to us. This inspection looked at the following key questions, effective, caring, responsive and well led.

At our inspection in January 2017, we rated the practice as Requires Improvement for providing safe and well-led services. At this time included amongst the issues we identified, was the practice did not have adequate management and storage of medicines and medical devices held on site. In addition, the practice did not engage fully with its patients to assist in establishing a patient participation group (PPG), which would serve as a channel to address patient concerns as highlighted in the low scores the practice received as part of the National GP Patient Survey. Finally, there was limited evidence that all non-clinical staff had received an appraisal during the preceding 12 months as well as recent information governance training.

We carried out an announced focused inspection on 16 October 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 4 January 2017. We found that the practice had made improvements to provide safe and well-led services. As a result of these findings, the practice was rated as good for providing safe and well-led services.

At this inspection (5 February 2020), we based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We have rated this practice as requires improvement overall.

We rated the practice as requires improvement for effective because:

  • The practice had not met national targets for the cervical cancer screening programme.
  • The practice had not met World Health Organisation (WHO) targets for the childhood immunisation programme.

We rated the practice as requires improvement for caring because:

  • The practice received low scores in the national patient survey in relation to caring. The practice had undertaken their own internal practice survey however, this was from a small number of patients and not representative of the practice population.

We rated the practice as good for providing a responsive and well-led service because:

  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

Whilst we found no breaches of regulations, the provider should:

  • Take action to improve the uptake for the childhood immunisation programme.
  • Take action to improve the uptake for the cervical cancer screening programme.
  • Extend the practice patient survey to include a wider number of the patient population.

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

Requires improvement

Caring

Requires improvement

Responsive

Good

Well-led

Good
Checks on specific services

People with long term conditions

Good

Families, children and young people

Requires improvement

Older people

Good

Working age people (including those recently retired and students)

Requires improvement

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good