The Care Quality Commission
  • Doctor
  • GP practice

Archived: Melbourne Street Surgery

Overall: Good read more about inspection ratings

56 Melbourne Street, Leicester, Leicestershire, LE2 0AS (0116) 253 6299

Provided and run by:
Johnson Medical Practice

All Inspections

14 November 2014

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Melbourne Street Surgery on 14 November 2014. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing safe, well-led, effective, caring and responsive services. It was also good for providing services for older people, people with long term conditions, families, children and young people, working age people (including those recently retired and students), people who circumstances may make them vulnerable, and people experiencing poor mental health.

Our key findings were as follows:

  • Systems were in place to ensure the environment and equipment were clean and staff followed hygienic procedures to minimise the risk of infection.
  • The practice worked in partnership with midwives, health visitors and school nurses to share information, concerns, and best ways to support families.
  • Patients described the staff as friendly and caring, and said that they felt that they treated them with respect and dignity.
  • Patients were involved in decisions about their health and treatment, and received support to cope emotionally with their care and condition
  • There was good teamwork, leadership, and commitment to improving the quality of care and patients experiences.

However there were areas of practice where the provider should make improvements.

The provider should:

  • Update arrangements processes and systems to ensure that emergency drugs and equipment are available for the doctor’s bags.
  • Ensure the safeguarding adult’s policies and procedures and the whistleblowing policy are up to date and in line with internal reporting procedures. The whistleblowing policy should include contact organisations and current guidance on how to raise concerns at work.
  • Ensure that staff have the necessary knowledge and understanding in relation to the Mental Capacity Act 2005 to apply the principles of the Act when necessary.
  • The practice should review their arrangements for recruitment to ensure that appropriate risks assessments and checks are completed when necessary.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

08/07/2014

During a routine inspection

Most patients told us they were happy with the care and treatment they received. Patients felt listened to and able to raise any concerns about the service with staff.

Procedures were in place to report and record safety incidents and concerns. The practice learned from incidents, complaints and patient feedback, and took action to ensure that patients were protected from harm and received safe care.

Most patients considered that the service was caring, and treated them with respect and maintained their confidentially.  Procedures were in place to ensure that patients consent was obtained before they received care or treatment, and that staff acted in accordance with legal requirements where people were unable to consent.

The service worked in partnership with other providers and services to meet the needs of patients in an effective way. Further services were being provided to enable more patients to be treated locally at the practice.

Staff changes and the use of temporary GPs had significantly reduced in the last 12 months following the appointment of further staff. An established staff team was in place to ensure that patients received consistent standards of care and service.

Staff received appropriate support, training and an appraisal to enable them to carry out their duties.  Staff worked well together as a team and felt supported in their roles.

The practice had undergone significant changes in the last 12 months to ensure the service was well-led, and responded to patients’ needs.

The services met the needs of the six population groups we looked at, and were safe, effective, caring, well-led and responsive to patients’ needs.

Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the CQC at that time.