Countesthorpe Health Centre

Updated 2 December 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of the practice on 29 June 2016. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of Regulation 12 and 19 of HSCA (Regulated Activities) Regulations 2014 .

We undertook a focussed inspection on 16 September 2016 to check that they had followed their action plan and to confirm they now met their legal requirements. This report only covers our findings in relation to those requirements. You can read the last comprehensive inspection report from June 2016 by following the link http://www.cqc.org.uk/location/1-548150327 or selecting the ‘all reports’ link for Countesthorpe Health Centre on our website at www.cqc.co.uk

At this inspection we found that:

• There was now an effective system in place to ensure that relevant training was undertaken and kept up to date.

  The system for checking and acting on abnormal pathology results had been reviewed and the protocol updated to ensure the system was effective.

• Outstanding actions identified in risk assessments and audits had been addressed.

• The system for the identification of carers had been improved.
• The protocol for maintaining the cold chain in respect of vaccination fridges was not being followed but action was taken to rectify this.

The areas where the provider should make improvements are:

• Further embed the process which has been introduced to consistently monitor fridge temperatures in order to adequately maintain the cold chain in respect of vaccines.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 2 December 2016

We carried out an announced comprehensive inspection of the practice on 29 June 2016. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of Regulation 12 and 19 of HSCA (Regulated Activities) Regulations 2014.

We undertook a focussed inspection on 16 September 2016 to check that they had followed their action plan and to confirm they now met their legal requirements. This report only covers our findings in relation to those requirements. You can read the last comprehensive inspection report from June 2016 by following the link http://www.cqc.org.uk/location/1-548150327 or selecting the ‘all reports’ link for Countesthorpe Health Centre on our website at www.cqc.co.uk

Following this most recent inspection we found that overall the practice was now rated as good and required improvements had been made; specifically, the ratings for providing an effective and well led service were now good. These rating applied to everyone using the practice, including this population group.

The practice is now rated as good for the care of people with long-term conditions.

Updated 2 December 2016

We carried out an announced comprehensive inspection of the practice on 29 June 2016. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of Regulation 12 and 19 of HSCA (Regulated Activities) Regulations 2014.

We undertook a focussed inspection on 16 September 2016 to check that they had followed their action plan and to confirm they now met their legal requirements. This report only covers our findings in relation to those requirements. You can read the last comprehensive inspection report from June 2016 by following the link http://www.cqc.org.uk/location/1-548150327 or selecting the ‘all reports’ link for Countesthorpe Health Centre on our website at www.cqc.co.uk

Following this most recent inspection we found that overall the practice was now rated as good and required improvements had been made; specifically, the ratings for providing an effective and well led service were now good. These rating applied to everyone using the practice, including this population group.

The practice is now rated as good for the care of families, children and young people.

Updated 2 December 2016

We carried out an announced comprehensive inspection of the practice on 29 June 2016. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of Regulation 12 and 19 of HSCA (Regulated Activities) Regulations 2014.

We undertook a focussed inspection on 16 September 2016 to check that they had followed their action plan and to confirm they now met their legal requirements. This report only covers our findings in relation to those requirements. You can read the last comprehensive inspection report from June 2016 by following the link http://www.cqc.org.uk/location/1-548150327 or selecting the ‘all reports’ link for Countesthorpe Health Centre on our website at www.cqc.co.uk

Following this most recent inspection we found that overall the practice was now rated as good and required improvements had been made; specifically, the ratings for providing an effective and well led service were now good. These rating applied to everyone using the practice, including this population group.

The practice is now rated as good for the care of older people.

Updated 2 December 2016

We carried out an announced comprehensive inspection of the practice on 29 June 2016. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of Regulation 12 and 19 of HSCA (Regulated Activities) Regulations 2014.

We undertook a focussed inspection on 16 September 2016 to check that they had followed their action plan and to confirm they now met their legal requirements. This report only covers our findings in relation to those requirements. You can read the last comprehensive inspection report from June 2016 by following the link http://www.cqc.org.uk/location/1-548150327 or selecting the ‘all reports’ link for Countesthorpe Health Centre on our website at www.cqc.co.uk

Following this most recent inspection we found that overall the practice was now rated as good and required improvements had been made; specifically, the ratings for providing an effective and well led service were now good. These rating applied to everyone using the practice, including this population group.

The practice is now rated as good for the care of working-age people (including those recently retired and students).

Updated 2 December 2016

We carried out an announced comprehensive inspection of the practice on 29 June 2016. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of Regulation 12 and 19 of HSCA (Regulated Activities) Regulations 2014.

We undertook a focussed inspection on 16 September 2016 to check that they had followed their action plan and to confirm they now met their legal requirements. This report only covers our findings in relation to those requirements. You can read the last comprehensive inspection report from June 2016 by following the link http://www.cqc.org.uk/location/1-548150327 or selecting the ‘all reports’ link for Countesthorpe Health Centre on our website at www.cqc.co.uk

Following this most recent inspection we found that overall the practice was now rated as good and required improvements had been made; specifically, the ratings for providing an effective and well led service were now good. These rating applied to everyone using the practice, including this population group.

The practice is now rated as good for the care of people experiencing poor mental health (including people with dementia).

Updated 2 December 2016

We carried out an announced comprehensive inspection of the practice on 29 June 2016. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of Regulation 12 and 19 of HSCA (Regulated Activities) Regulations 2014.

We undertook a focussed inspection on 16 September 2016 to check that they had followed their action plan and to confirm they now met their legal requirements. This report only covers our findings in relation to those requirements. You can read the last comprehensive inspection report from June 2016 by following the link http://www.cqc.org.uk/location/1-548150327 or selecting the ‘all reports’ link for Countesthorpe Health Centre on our website at www.cqc.co.uk

Following this most recent inspection we found that overall the practice was now rated as good and required improvements had been made; specifically, the ratings for providing an effective and well led service were now good. These rating applied to everyone using the practice, including this population group.

The practice is now rated as good for the care of people whose circumstances may make them vulnerable.