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All Saints Medical Centre PMS Good

Reports


Review carried out on 21 June 2019

During an annual regulatory review

We reviewed the information available to us about All Saints Medical Centre PMS on 21 June 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

Inspection carried out on 13 April 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at All Saints Medical Centre on 13 April 2016. Overall the practice is rated as good.

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

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.

  • Risks to patients were assessed and well managed.

  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.

  • Patients said they were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.

  • Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.

  • Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.

  • The practice had good facilities and was well equipped to treat patients and meet their needs.

  • There was a clear leadership structure and staff felt supported by management.

  • The practice proactively sought feedback from staff and patients, which it acted on.

  • The provider was aware of and complied with the requirements of the duty of candour.

The areas where the provider should make improvements are:

  • In line with current recommendations, all staff should receive their Basic Life Support (BLS) training annually.

  • Clinical staff should receive training to ensure they are aware of their responsibilities under the Mental Capacity Act 2005 (MCA).

  • Practice Nurse attendance at practice clinical governance meetings should be encouraged and facilitated.

  • A record should be kept of batch numbers of blank prescriptions placed in printers.
  • The practice should review its procedure for identifying and recording patients with caring responsibilities on the clinical system to ensure information, advice and support is made available to them.
  • An infection control audit should be carried out annually.


Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice