The Care Quality Commission
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Archived: Hawkesley Medical Practice

Overall: Good read more about inspection ratings

375 Shannon Road, Kings Norton, Birmingham, West Midlands, B38 9TJ (0121) 486 4200

Provided and run by:
Dr William Matthew Henry Drever

Important: The provider of this service changed. See new profile
Important: The provider of this service changed - see old profile

All Inspections

21 September 2020

During an inspection looking at part of the service

We carried out an announced comprehensive inspection of Hawkesley Medical Practice in June 2019, the overall rating was Good. The service was rated as Requires improvement for providing Safe services. This was because we identified a breach in Regulation 12 Safe care and treatment and areas where the provider must make improvements.

At this inspection, we carried out a focussed desk-based inspection of Hawkesley Medical Practice on 21 September 2020 to check that the provider had made improvements in line with our recommendations. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Hawkesley Medical Practice on our website at www.cqc.org.uk.

The key question Safe is now rated as Good. The overall rating remains Good.

Our key findings were:

  • Following our previous inspection, the practice had taken appropriate action to improve safety systems to safeguard patients and address relevant health and safety risks.
  • The provider had improved processes to ensure that Disclosure and Barring Service (DBS) checks were undertaken where required.
  • Staff had completed necessary fire training. The practice had made improvements to their monitoring of training, including setting up alerts to remind staff that their training was due.
  • The practice had implemented a process to identify carers on their patient record system so that they could support carers appropriately. The practice told us at the time of this inspection, they had identified 86 patients as carers, this was approximately 2% of their patient list.
  • The practice had improved their security systems to ensure that prescription stationery was secure at all times.

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.

18 June 2019

During a routine inspection

We carried out an announced comprehensive inspection at Hawkesley Medical Practice on 18 June 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 good overall and good for all population groups.

We found that:

  • The practice cervical screening uptake was in line with averages and although childhood immunisations appeared to be lower than averages, the practice was able to demonstrate that these had improved, with the most recent data from the Children’s Health Information Service (CHIS).
  • The practice achieved higher than average scores in the GP patient survey for questions relating to patients being involved in their care and treatment and how they felt they were treated by staff at the practice. The practice had also completed their own survey but did not yet have access to the results.
  • The practice achieved higher than average scores in the GP patient survey for questions relating to access to their care and treatment. The practice had also completed their own survey but did not yet have access to the results.
  • The practice demonstrated a commitment to continuous learning and meaningful innovations to benefit their population.
  • The practice had systems in place to safeguard patients from abuse, but these were not always fully effective. For example, non-clinical staff without DBS checks, had no assessment of risk. Safety systems were in place but were not always operating as intended. For example, we found an example of health and safety risks that had not been considered or addressed. Following the inspection, the practice told us that some of these concerns had been addressed with immediate effect and one would take longer to address.

The areas where the provider must make improvements are:

  • Ensure that care and treatment is provided in a safe way.

(Please see the specific details on action required at the end of this report).

The areas where the provider should make improvements are:

  • Improve the identification of carers to enable this group of patients to access the care and support they need.
  • Continue to ensure that systems develop to allow access to and overview of staff related documents. For example, training records.
  • Continue to ensure that prescription stationary is secure at all times.

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