• Doctor
  • GP practice

Archived: Queens Road Surgery

Overall: Good read more about inspection ratings

282 Queens Road, Leicester, Leicestershire, LE2 3FU (0116) 270 7067

Provided and run by:
St Peter's Health Centre - Mansingh & Partner

All Inspections

2 November 2015

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We carried out an unannounced inspection of Queens Road Surgery and their branch surgery located in St Peter’s Health Centre on 2 November 2015. This report does not include ratings of safe, caring, effective, responsive and well led because this inspection was carried out based on information which was shared with the Care Quality Commission in relation to the recruitment and training of staff.

There were concerns that clinical and non-clinical staff were being recruited without robust recruitment procedures being followed. For example, formal interview, proof of identity checks, references, qualifications, registration with an appropriate professional body, medical indemnity insurance and the appropriate checks through the Disclosure and Barring Service. There were also concerns that staff had not received safeguarding adults and safeguarding children training.

Our key findings were as follows:

  • There was evidence that appropriate recruitment checks had been undertaken prior to employment. For example, proof of identification, references, qualifications, registration, medical indemnity insurance cover with the appropriate professional body and criminal records checks through the Disclosure and Barring Service (DBS). (DBS checks identify whether a person has a criminal record or is on an official list of people barred from working in roles where they may have contact with children or adults who may be vulnerable) However, not all of this evidence was available for all employees during our inspection, evidence was provided shortly after our inspection.
  • Staff told us they had been recruited following a formal interview and references were supplied before commencement of employment. Staff also told us that a DBS check had been carried out, they had received an induction programme and were provided with training relevant to their role including mandatory training, such as basic life support and safeguarding.

  • Clinical members of staff were trained to deliver care and treatment to patients without placing patients at risk of harm. We saw evidence of qualifications and training during our inspection.

  • Staff had attended safeguarding adults and safeguarding children training, however the information was not available during the inspection for all members of staff. Evidence of this was provided shortly after our inspection.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

7 May 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Queens Road Surgery 7 May 2015. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing safe, well-led, effective, caring and responsive services. It was also good for providing services for all population groups.

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

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. A new system was in the process of being embedded and information about safety was recorded, monitored, appropriately reviewed and addressed.
  • Risks to patients were assessed and managed.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance.
  • 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 made available.
  • 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 listened to feedback from staff and patients, which it acted on.

However there were areas of practice where the provider needs to make improvements.

Importantly the provider should :

  • Implement a cold chain policy and ensure fridge temperatures are reset daily.
  • Check the emergency oxygen levels and equipment at more regular intervals in line with national guidance.
  • Ensure there is signage on the room which contains oxygen and emergency equipment.
  • Ensure the system of changes to patient’s medication on the computer system being made by a GP is embedded to reduce the risk of errors.
  • Create a patient participation group (PPG) by 31 March 2016 in line with contractual requirements and in order for patients and the practice to work together to improve the service and improve the quality of care patients receive.
  • Implement further training for the infection control lead and also to ensure staff awareness of the about the Mental Capacity Act 2005 and consent.
  • Ensure the new system for reporting and reviewing significant events is fully embedded.
  • Ensure PGD’s are signed by all relevant staff.
  • Ensure actions identified in infection control audits and spot checks are allocated and completed.
  • Update details in safeguarding policy and ensure all staff aware of safeguarding lead.
  • Implement multi disciplinary meetings.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice