This practice is rated as requires improvement overall. (Previous rating September 2015 – Good)
The key questions at this inspection are rated as:
Are services safe? – Requires improvement
Are services effective? – Requires improvement
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Requires improvement
We carried out an announced comprehensive inspection at The Mosslands Medical Practice on 13 November 2018 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
At this inspection we found:
- The practice had systems that needed improving 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, but learning was not always shared across the practice.
- 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.
- Some patients told us they found it difficult getting through to someone on the phone and this was corroborated by the national GP patient survey results.
- There were no processes in place to provide all staff with the development they needed and training was out of date for some staff members.
- Some practice policies were not regularly reviewed and the service did not have policies in place for processes such as acting on patient safety alerts.
- Identified risks had not always been acted on, for example there were actions still to be completed from the fire risk assessment.
The areas where the provider must make improvements are:
- Ensure care and treatment is provided in a safe way to patients.
- 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 keep a log of all blank prescriptions.
- The practice should consider having whole practice meetings.
- The practice should have a cleaning schedule in place for clinical rooms.
- Incidents that are documented should reference which patients are affected.
- The practice should review their scores for patients getting through to someone on the telephone.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.