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Magdalen Medical Practice Good

Inspection Summary


Overall summary & rating

Good

Updated 31 May 2016

Letter from the Chief Inspector of General Practice

We carried out an announced focused inspection of Magdalen Medical Practice on 8 April 2016. This inspection was undertaken to follow up a requirement notice we issued to the provider at our previous inspection of as they had failed to comply with the law in respect of providing safe care and treatment for patients, specifically in respect of the recruitment of staff.

We undertook this focused follow up inspection to check that they had followed their plan and to confirm that they now met legal requirements. This report only covers our findings in relation to this requirement. You can read the report from our last comprehensive inspection, by selecting the ‘all reports' link for on our website at www.cqc.org.uk.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection areas

Safe

Good

Updated 31 May 2016

We found that improvements had been made following our previous inspection of date 13 October 2016.

 Staff recruitment checks were in place and systems had been implemented to ensure future recruitment would meet the standards required. There was a record of the immunisation status of the staff. In addition the practice had made improvements to the security of prescriptions and had reviewed its fire safety system. Clinical audits had been completed.

Effective

Good

Updated 31 May 2016

Caring

Good

Updated 31 May 2016

Responsive

Good

Updated 31 May 2016

Well-led

Good

Updated 31 May 2016

Checks on specific services

People with long term conditions

Good

Updated 26 November 2015

The practice is rated as good for the care of people with long-term conditions. Patients had structured annual reviews to check that their health and medication needs were being met. For those people with the most complex needs, the GPs worked with relevant health and care professionals to deliver a multidisciplinary package of care. Nursing staff had lead roles in chronic disease management and patients at risk of hospital admission were identified as a priority. Longer appointments and home visits were available when needed. The practice carried out seasonal flu immunisation, and shingles and pneumococcal vaccination for those at risk.

A visiting health trainer attended the practice every Monday to support patients in managing their smoking, alcohol intake and weight. Patients also benefited from a visiting heart failure and specialist diabetic nurse.

Families, children and young people

Good

Updated 26 November 2015

The practice is rated as good for the care of families, children and young people. Appointments were available outside of school hours and the practice’s flexible appointment system allowed same day appointments for children with acute needs. Community midwives held twice-weekly clinics at the practice for antenatal appointments. Quarterly meetings were held with health visitors to discuss any children at risk.

The practice offered a full range of family planning services including intrauterine contraception. One GP had trained as a breast-feeding counsellor and was able to offer additional support to pregnant women and new mothers.

The practice supported a local independent school and offered advice, signposting and training on a range of physical and mental health issues to pupils. All young people aged between 18- 25 years were offered chlamydia screening.

Older people

Good

Updated 26 November 2015

The practice is rated as good for the care of older people. Nationally reported data showed that outcomes for patients were good for conditions commonly found in older people. The practice offered proactive, personalised care to meet the needs of the older people in its population and had a range of enhanced services for example, in dementia and end of life care. The practice participated in regular meetings with the Integrated Care Organisation that was also attended by Age UK representatives. The practice provided weekly ‘ward rounds’ to two local residential care homes, giving residents regular and consistent contact for non-urgent health issues.

Working age people (including those recently retired and students)

Good

Updated 26 November 2015

The practice is rated as good for the care of working-age people (including those recently retired and students). The needs of the working age population, those recently retired and students had been identified and the practice had adjusted the services it offered to ensure these were accessible, flexible and offered continuity of care. The practice was proactive in offering online services as well as a full range of health promotion and screening that reflected the needs for this age group. Appointments were available from 8 am-6-pm each day.

Two physiotherapists were based at the practice which allowed easy access to get working aged people back to work quickly and provide advice on work related issues. The practice also participated in a ‘telederm’ service which allowed a consultant dermatologist to review skin lesions remotely, reducing the need for patients to take time off work for hospital appointments.

People experiencing poor mental health (including people with dementia)

Good

Updated 26 November 2015

The practice is rated as good for the care of people experiencing poor mental health (including people with dementia). The practice kept a register of all those with significant mental health problems and 91% of people experiencing poor mental health had an agreed care plan in place.

The Norfolk Recovery Partnership (drug and alcohol treatment team) used one of the practice’s treatment rooms so that the patients did not have to travel to receive its services.

The practice kept a register of all patients living with dementia and offered them annual physical and mental health reviews. Practice staff had received training to become a dementia friendly practice. The GPs who provided services to local care homes had developed additional skills and knowledge in supporting those patients who lacked capacity to make decisions for themselves, and those whose liberty was deprived.

People whose circumstances may make them vulnerable

Good

Updated 26 November 2015

The practice is rated as good for the care of people whose circumstances might make them vulnerable. The practice held a register of patients living in vulnerable circumstances including those with complex needs and learning disabilities. It had carried out annual health checks for 57% of people with a learning disability on its list in the year 2014-2015.

The practice regularly worked with multi-disciplinary teams in the case management of vulnerable people. Staff knew how to recognise signs of abuse in vulnerable adults and children. Staff were aware of their responsibilities regarding information sharing, documentation of safeguarding concerns and how to contact relevant agencies A number of staff had received training in recognising and supporting patients affected by domestic violence.