25 March 2014
During an inspection in response to concerns
In order to target our inspections effectively we gather information about services. This may include information from NHS England, patients or staff. Before an inspection we reviewed the information we had. The information directed us to review cleanliness and infection control, the safety and suitability of the premises and the processes in place to assess and monitor the quality of the service.
Below is a summary of our findings based on our observations, speaking to patients and speaking to staff.
Is the service caring?
Generally the patients we spoke with were happy with the care, support and treatment they received. They told us they were treated respectfully. We were told that doctors and nurses took the time to listen to the patients.
Is the service responsive?
Infection prevention and control audits had been completed by Walsall Healthcare NHS Trust and the practice, action plans had been developed and ongoing improvements were evident.
Is the service effective?
The practice had an electronic clinical record system which gave the doctors and nurses immediate access to patients medical history. We looked at a selection of recordings of triages and consultations. We found that they held the appropriate level of detail and were clear and legible. This meant all clinical staff, including locums had prompt access to up to date information regarding their patient.
Is the service well led?
Talks were taking place regarding the partnership arrangements at the practice. At the time of the inspection only one doctor was working at the practice. They gave examples of the difficulties they were experiencing which had resulted in them no longer undertaking clinical sessions at the practice. The practice was in a position where they were heavily reliant on locum GP support.
Is the service safe?
Whilst awaiting a new health centre to be built, which had been delayed for a number of years, the surgery had not been adequately maintained. There were ongoing discussions regarding the current GP partnership and the new build project. The business continuity plan in place did not take into account the significant difficulties the practice was facing.