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Saltdean and Rottingdean Medical Practice Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 6 June 2019

We carried out an announced comprehensive inspection at Saltdean and Rottingdean Medical Practice on 28 March 2019 as part of our inspection programme.

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 requires improvement overall and requires improvement for all population groups.

We rated the practice as requires improvement for providing safe services because:

  • The practice did not have appropriate systems in place for the safe management of all high-risk medicines.
  • There was no risk assessment as to which emergency medicines were kept in the practice and there was no medicine for use in case of seizures.
  • The practice did not have appropriate systems in place for the recording of action in relation to safety alerts received.
  • The practice did not always learn and make improvements when things went wrong.

We rated the practice as requires improvement for providing effective services because:

  • The practice was unable to show that staff had the skills, knowledge and experience to carry out their roles.

However:

  • Patients received effective care and treatment that met their needs.
  • Clinical audits were carried out and there was evidence of change and improvements.

We rated the practice as requires improvement for providing responsive services because:

  • Verbal complaints were not recorded; therefore the practice did not always learn and make improvements from these.

However:

  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.

We rated the practice as requires improvement for providing well-led services because:

  • Systems were not in place to monitor the overall governance arrangements of the practice.

However:

  • Leaders were visible and approachable.

These areas affected all population groups so we rated all population groups as requires improvement.

We rated the practice as good for providing caring services because:

  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.

The areas where the provider must make improvement is:

  • Ensure that care and treatment is provided in a safe way.
  • Ensure persons employed in the provision of the regulated activity receive the appropriate support, training, professional development, supervision and appraisal necessary to enable them to carry out the duties.
  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

In addition, the provider should:

  • Continue to work to improve areas of patient satisfaction such as in relation to patients feeling listened to and treated with care and concern.
  • Continue to work to improve diabetes indicators.
  • Include details of how to contact the ombudsman in complaints communication with patients.

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

Requires improvement

Effective

Requires improvement

Caring

Good

Responsive

Requires improvement

Well-led

Requires improvement
Checks on specific services

People with long term conditions

Requires improvement

Families, children and young people

Requires improvement

Older people

Requires improvement

Working age people (including those recently retired and students)

Requires improvement

People experiencing poor mental health (including people with dementia)

Requires improvement

People whose circumstances may make them vulnerable

Requires improvement