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Market Harborough Medical Centre Good

Inspection Summary


Overall summary & rating

Good

Updated 21 November 2016

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of the practice on 3 March 2016. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of Regulation 12.

We undertook a focussed inspection on 18 October 2016 to check that they had followed their action plan and to confirm they now met their legal requirements. This report only covers our findings in relation to those requirements. You can read the last comprehensive inspection report from March 2016 by selecting the ‘all reports’ link for Market Harborough Medical Centre on our website at www.cqc.co.uk

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.

  • The practice had improved the governance framework in place to support the delivery of the strategy and good quality care. For example, systems for assessing and monitoring risks and the quality of the service provision.

  • There was strong leadership within the dispensary and we saw evidence of safe and effective systems and processes in place

The areas where the provider should make improvements are:

  • Continue to embed the new system for significant events and ensure meeting minutes include discussions and decisions made.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection areas

Safe

Good

Updated 21 November 2016

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events. There was a clear and consistent system in place for reporting, recording and monitoring significant events, incidents and accidents. Lessons were shared to make sure action was taken to improve safety in the practice.

  • Regular legionella water monitoring now took place.
  • Emergency equipment and medicines were stored safely and all staff were aware of the location.

  • Near miss errors in the dispensary were logged at time of occurrence and, where necessary, input from a GP was sought. All near misses or incidents were then reviewed monthly in dispensary meetings

  • We found that both blank prescription forms and pads were securely stored and there were systems in place to monitor their use.

  • A system had been put in place for the monitoring of training and we found that it was easy to identify when training and updates were due.

  • We saw minutes which demonstrated that regular practice meetings had taken place. There was a clear format with more detail of discussion and responsibility for actions being documented.

Effective

Good

Updated 21 November 2016

Caring

Good

Updated 21 November 2016

Responsive

Good

Updated 21 November 2016

Well-led

Good

Updated 21 November 2016

  • Since our inspection in March 2016 we found that the practice had made a number of improvements.

  • The practice had improved the governance framework in place to support the delivery of the strategy and good quality care. For example, systems for assessing and monitoring risks and the quality of the service provision.

  • There was strong leadership within the dispensary and we saw evidence of safe and effective systems and processes in place.

Checks on specific services

People with long term conditions

Good

Updated 21 November 2016

We carried out an announced comprehensive inspection of the practice on 3rd March 2016. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of Regulation 12.

We undertook a focussed inspection on 18 October 2016 to check that they had followed their action plan and to confirm they now met their legal requirements. This report only covers our findings in relation to those requirements. You can read the last comprehensive inspection report from March 2016 by selecting the ‘all reports’ link for Market Harborough Medical Centre on our website at www.cqc.co.uk

Following this most recent inspection we found that overall the practice was now rated as good and significant improvements had been made specifically, the ratings for providing a safe and well led service. These rating applied to everyone using the practice, including this population group.

The practice is now rated as good for the care of people with long-term conditions.

Families, children and young people

Good

Updated 21 November 2016

We carried out an announced comprehensive inspection of the practice on 3rd March 2016. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of Regulation 12.

We undertook a focussed inspection on 18 October 2016 to check that they had followed their action plan and to confirm they now met their legal requirements. This report only covers our findings in relation to those requirements. You can read the last comprehensive inspection report from March 2016 by selecting the ‘all reports’ link for Market Harborough Medical Centre on our website at www.cqc.co.uk

Following this most recent inspection we found that overall the practice was now rated as good and significant improvements had been made specifically, the ratings for providing a safe and well led service. These rating applied to everyone using the practice, including this population group.

The practice is now rated as good for the care of families, children and young people.

Older people

Good

Updated 21 November 2016

We carried out an announced comprehensive inspection of the practice on 3rd March 2016. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of Regulation 12.

We undertook a focussed inspection on 18 October 2016 to check that they had followed their action plan and to confirm they now met their legal requirements. This report only covers our findings in relation to those requirements. You can read the last comprehensive inspection report from March 2016 by selecting the ‘all reports’ link for Market Harborough Medical Centre on our website at www.cqc.co.uk

Following this most recent inspection we found that overall the practice was now rated as good and significant improvements had been made specifically, the ratings for providing a safe and well led service. These rating applied to everyone using the practice, including this population group.

The practice is now rated as good for the care of older people.

Working age people (including those recently retired and students)

Good

Updated 21 November 2016

We carried out an announced comprehensive inspection of the practice on 3rd March 2016. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of Regulation 12.

We undertook a focussed inspection on 18 October 2016 to check that they had followed their action plan and to confirm they now met their legal requirements. This report only covers our findings in relation to those requirements. You can read the last comprehensive inspection report from March 2016 by selecting the ‘all reports’ link for Market Harborough Medical Centre on our website at www.cqc.co.uk

Following this most recent inspection we found that overall the practice was now rated as good and significant improvements had been made specifically, the ratings for providing a safe and well led service. These rating applied to everyone using the practice, including this population group.

The practice is now rated as good for the care of working-age people (including those recently retired and students).

People experiencing poor mental health (including people with dementia)

Good

Updated 21 November 2016

We carried out an announced comprehensive inspection of the practice on 3rd March 2016. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of Regulation 12.

We undertook a focussed inspection on 18 October 2016 to check that they had followed their action plan and to confirm they now met their legal requirements. This report only covers our findings in relation to those requirements. You can read the last comprehensive inspection report from March 2016 by selecting the ‘all reports’ link for Market Harborough Medical Centre on our website at www.cqc.co.uk

Following this most recent inspection we found that overall the practice was now rated as good and significant improvements had been made specifically, the ratings for providing a safe and well led service. These rating applied to everyone using the practice, including this population group.

The practice is now rated as good for the care of people experiencing poor mental health (including people with dementia).

People whose circumstances may make them vulnerable

Good

Updated 21 November 2016

We carried out an announced comprehensive inspection of the practice on 3rd March 2016. A breach of legal requirements was found. After the comprehensive inspection the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of Regulation 12.

We undertook a focussed inspection on 18 October 2016 to check that they had followed their action plan and to confirm they now met their legal requirements. This report only covers our findings in relation to those requirements. You can read the last comprehensive inspection report from March 2016 by selecting the ‘all reports’ link for Market Harborough Medical Centre on our website at www.cqc.co.uk

Following this most recent inspection we found that overall the practice was now rated as good and significant improvements had been made specifically, the ratings for providing a safe and well led service. These rating applied to everyone using the practice, including this population group.

The practice is now rated as good for the care of people whose circumstances may make them vulnerable.