We previously carried out an announced comprehensive inspection at The Westgate practice in October 2018 as part of our inspection programme. The practice was rated as good overall but requires improvement in safe. The practice was found in breach of Regulation 12 Safe Care and Treatment; specifically, assessing the risk of, and preventing, detecting and controlling the spread of, infections, including those that are health care associated. We issued a requirement notice in response to the breach.
Following our review of the information available to us, including information provided by the practice, we carried out an announced focused inspection at The Westgate Practice on 1 October 2019 and the Shenstone branch on 3 October 2019. We focused our inspection on the following key questions: safe; effective and well led. Due to the assurance received from our review of information, we carried forward the ratings for the following key questions: caring and responsive.
The practice had met all the requirements of the requirement notice for regulation 12. Additionally, the practice had reviewed its management structure, increased the infection control team and made a significant number of improvements to the building with a detailed plan of refurbishment and redecoration.
We based our judgement of the quality of care at this service on a combination of:
- what we found when we inspected
- information from our ongoing monitoring of data about services and
- information from the provider, patients, the public and other organisations.
We have rated this practice as good overall and good for all population groups.
We found that:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- Patients received effective care and treatment that met their needs.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
Whilst we found no breaches of regulations, the provider should:
- Improve the mechanism to record blood results for people treated with blood thinning medicines.
- Review the recording of the drug monitoring results.
- Continue to improve the alert process to record ongoing action.
- Consider refreshing the safeguarding policy.
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