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Fressingfield Medical Centre Good

Inspection Summary


Overall summary & rating

Good

Updated 18 August 2020

This practice is rated as good overall. At our last inspection published on 13 January 2020, the practice was rated as good overall, with outstanding for providing responsive service and requires improvement for providing safe services. The requires improvement rating for safe was because

  • Patients who were prescribed certain high-risk medicines that required regular blood tests prior to repeat prescribing of these medicines, were not consistently monitored.
  • There was not an effective governance system in place to be assured that all medicines alerts published by the Medicines and Health products Regulatory Agency (MHRA) were acted upon by the provider.

We undertook a desk based review on 11 August 2020 to check the provider had made improvements. We found improvements had been made and the practice is now rated as good for providing safe services.

At this review we found:

  • The practice had improved and embedded the process for patients prescribed medicines which required a more frequent monitoring schedule to ensure safe prescribing. We reviewed the records of seven patients who were prescribed medicines which required additional monitoring before being reissued. All of these patients had appropriate blood tests undertaken and the results reviewed, before medicines had been reissued.
  • Improvements had been made to the system for recording and acting on patient safety alerts. We reviewed four safety alerts and four patients who were affected by these and we found the alerts we reviewed had been acted on appropriately.
  • The practice had continued work to improve their antibiotic prescribing.
  • The practice had improved their uptake of cervical screening. This had increased from 77.7% in 2018 to 80.4% in 2019. Snapshot data taken on 31 March 2020 showed this had further increased to 80.9%. They had met the Public Health England target of 80%. Promotional material, opportunistic screening, flexibility of appointment time and contacting patients who did not attend were used to improve the uptake. In addition, patients who were overdue screening were contacted by a practice nurse, rather than the cervical screening administrator, so that any clinical issues could be discussed.

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

Outstanding

Well-led

Good
Checks on specific services

People with long term conditions

Outstanding

Families, children and young people

Outstanding

Older people

Outstanding

Working age people (including those recently retired and students)

Outstanding

People experiencing poor mental health (including people with dementia)

Outstanding

People whose circumstances may make them vulnerable

Outstanding