We carried out a review of the data available to us about Temple Cowley Medical Group on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Temple Cowley Medical Group, you can give feedback on this service.
We carried out an announced comprehensive inspection at Temple Cowley Medical Group on 22 February 2017. The overall rating for the practice was requires improvement, with ratings of requires improvement in the safe, responsive and well-led domains. The full comprehensive report from this inspection can be found by selecting the ‘all reports’ link for Temple Cowley Medical Group on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 19 October 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection in February 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is now rated as good.
Our key findings were as follows:
The practice made changes to its services where we suggested it should consider improvements:
Chief Inspector of General Practice
Our previous announced comprehensive inspection in July 2016 found breaches of regulations relating to the effective delivery of service. The overall rating of the practice was good. Specifically, the practice was rated good for providing safe, caring, responsive and well-led services and require improvement for the provision of effective services.
After the inspection we had received information of concern from a whistle-blower in relation to patients being placed at risk. In response we carried out an unannounced focused inspection on 28 September 2016. We found breaches of regulations relating to the safe, effective and well-led delivery of services. The practice was not rated during the September 2016 focussed inspection.
Both inspection reports (July 2016 and September 2016) can be found by selecting the ‘all reports’ link for Temple Cowley Medical Group on our website at www.cqc.org.uk. Following both inspections, we received action plans which set out what actions the practice would take to achieve compliance.
We carried out an announced comprehensive inspection at Temple Cowley Medical Group on 22 February 2017. We carried out this inspection to check that the practice was meeting the regulations and to consider whether sufficient improvements had been made.
At this inspection, we found the practice had made some improvements. However, there were areas highlighted during the previous inspections where improvements are still required. Overall the practice is rated as requires improvement. Specifically, we found the practice to require improvement for the provision of safe, responsive and well led services. The practice was rated good for providing effective and caring services. Consequently we rated all population groups as requires improvement.
Our key findings across all the areas we inspected were as follows:
The areas where the provider must make improvements are:
The areas where the provider should make improvements are:
Chief Inspector of General Practice
We carried out an unannounced focused inspection of Temple Cowley Medical Group on 28 September 2016. The inspection was carried out because we had received information of concern from a whistle-blower in relation to patients being placed at risk. These concerns referred to the poor monitoring and management of patient correspondence in a timely manner. In addition there were concerns that referrals were not processed on time and consultation notes were not always documented. We were also informed that staff time keeping and waiting time in the waiting area were not monitored effectively. We found the service was not meeting fundamental standards and had breached regulations. Specifically, we found concerns and regulatory breaches relating to the safe care and treatment, and management and leadership of the practice.
The practice was not rated during this focussed inspection. Our previous announced comprehensive inspection in July 2016 found issues relating to the effective delivery of care and treatment and we asked the practice to make improvements. The practice was rated good for providing safe, caring, responsive and well-led services. This report should be read in conjunction with the full inspection report published on 21 September 2016.
Our key findings during this focussed inspection were as follows:
The areas where the provider must make improvements are:
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Temple Cowley Medical Group on 14 July, 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
We saw one area of outstanding practice:
The practice had 176 patients on its mental health register, which represented 2% of its patient list, with more than a third living in controlled residential environments. The practice was proactive in its liaison with local community and residential mental health services to ensure that the needs of these patients were met. This included allocating a named GP for a residential home for patients with mental health illnesses and a named practice nurse to undertake care plan reviews at the practice or through home visits to patients unwilling or unable to attend the surgery.
The practice was in regular communication with the organisation which provided other supported accommodation for patients with mental health conditions, and it ensured that patients prescribed high risk anti-psychotic medicines were closely monitored under a shared care pathway. Annual care plan review rates for patients with mental health conditions and dementia were above local and national averages and the majority of its mental health care plan reviews were completed in conjunction with local psychiatric teams.
The practice used the care plan review process to undertake opportunistic work to address patients' other health issues, including flu vaccination and smoking cessation support, which had resulted in 13 patients on the mental health register giving up smoking.
The areas where the provider must make improvements are:
Ensure that all planned work is undertaken to increase patients’ attendance of reviews for long-term conditions, child immunisations and cancer screenings.
In addition, the provider should:
Establish an audit trail to ensure that medicine and equipment safety alerts are acted on by clinicians.
Continue to ensure that the practice premises meets accessibility expectations for patients with disabilities through the installation of an automatic entrance door and a hearing loop.
Continue to work to improve patient satisfaction through patient feedback to ensure it meets the needs of the patients and the practice.
Ensure that all clinical staff have training in the Mental Capacity Act 2005, so that consent to treatment is sought appropriately for all patients.
Follow up children who have failed to attend booked hospital appointments or immunisation appointments, and identify adult patients known to be subject to safeguarding concerns on their records, as a safeguarding responsibility.
Chief Inspector of General Practice