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Mocha Parade Medical Practice Good

Reports


Inspection carried out on 15/03/2019

During a routine inspection

Inspection carried out on 23/08/2018 and 30/08/2018

During a routine inspection

This practice is rated as requires improvement overall. (Previous rating good March 2016)

The key questions are rated as:

Are services safe? – Requires improvement

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Requires improvement

We carried out an announced comprehensive inspection at Mocha Parade Medical Practice on 23 August 2018 and a second visit was carried out on 30 August 2018. This was part of our inspection program. A second visit was required as key members of staff were unavailable during the inspection on 23 August 2018.

At this inspection we found:

  • The practice had not ensured that all clinical staff had the correct medical indemnity in place.
  • The practice had some systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
  • Practice policies were in place but not all staff could access them.
  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.
  • Patients found the appointment system easy to use and reported that they could access care when they needed it.
  • There was a focus on continuous learning and improvement but staff had not always kept up to date with training.

The area where the provider must make improvements as they are in breach of regulations are:

  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care

The areas where the provider should make improvements are:

  • The practice should review the number of registered carers and improve on these numbers.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Inspection carried out on 23 February 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Mocha Parade Medical Practice on 23 February 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand.
  • Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the Duty of Candour.

The areas where the provider should make improvement are:

  • Review all risk assessments relating to fire safety, legionella and COSHH.

  • Ensure nurses are operating under a valid patient group direction.

  • Ensure curtains are available in surgeries to maintain patient privacy.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice