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The Mosslands Medical Practice Good

Reports


Review carried out on 9 September 2021

During a monthly review of our data

We carried out a review of the data available to us about The Mosslands Medical Practice on 9 September 2021. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about The Mosslands Medical Practice, you can give feedback on this service.

Inspection carried out on 26/06/2020

During an inspection looking at part of the service

This was a focused inspection of The Mosslands Medical Practice in one area within the key question safe. The evidence was sent to us by email and reviewed remotely. At this inspection we found the practice had made all required improvements. Overall, the practice is rated as good.

The practice was previously inspected on 22 August 2019. The inspection was a comprehensive inspection under the Health and Social Care Act 2008. At that inspection, the practice was rated good overall but required improvement for providing safe services as the service did not have an effective system in place for recruitment checks. The service was issued a requirement notice under Regulation 12: Safe Care and Treatment.

Our key findings at this most recent inspection were as follows:

  • The practice now had an effective system in place for recruitment checks including recruitment checks for locum members of staff. A checklist had been put in place.

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

Inspection carried out on 22/08/2019

During a routine inspection

This practice was first inspected in September 2015 when they were rated good in all key questions. On 13 November 2018 we inspected again as part of our inspection programme and found them to require improvement. The areas for improvement were in the safe, effective, and well-led domains.

We carried out an announced full comprehensive inspection at The Mosslands Medical Practice on 22 August 2019 as part of our inspection programme to check whether the practice had implemented and maintained improvement.

The practice is now rated Good overall and in all population groups but requires improvement in the safe key question.

At this inspection we found:

  • Recruitment checks were not always carried out in accordance with the regulations.
  • Improvements since the last inspection had been made which included keeping a log of all blank prescriptions, cleaning schedules were now in place for clinical rooms and improvements had been made to access to the practice by the telephone.
  • There were systems in place 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.
  • All staff had now received up to date basic life support training.
  • The practice now had a risk assessment in place for emergency medicines.
  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. We saw examples where improvements had been made and care and treatment was delivered according to evidence-based guidelines.
  • Systems to manage read coding, prescribing, medical alerts and care planning were improved, and consistency and safety was being maintained.
  • The systems to manage medicines safely were improved and were now being consistently applied.
  • 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.

  • The governance structure had improved and encouraged whole team working. Clinical discussions regularly took place and were attended by nurses and communication overall was being consistently disseminated to all staff.

The areas where the provider must make improvements are:

  • The practice must ensure that persons providing care or treatment to service users had the qualifications, competence, skills and experience to do so safely.

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

Inspection carried out on 13/11/2018

During a routine inspection

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.

Inspection carried out on 10th September 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Mosslands Medical Practice on 10th September 2015. Overall the practice is rated as good.

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. Information about safety was recorded, monitored, appropriately reviewed and addressed.
  • Risks to patients were assessed and well managed.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance.
  • Staff had received training appropriate to their roles and any further training needs had been identified and planned.
  • 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 practice carried out a robust audit and review programme with completed clinical audits and planned audits which included independent nursing audits and joint review with nurses. They acted on information obtained from the audits to improve services for patients.

We saw areas of outstanding practice:

  • The nursing team had a particularly good shared peer support and cross revalidation system between themselves and other practices. This was to ensure that best practice was always adhered to for the benefit of the patients.
  • There was a strong affiliation with community services, children’s services, district nursing teams, pharmacy and other support groups which were located in the building and nearby. This created particularly good communication opportunities and increased timely responses for patients using combined services.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 18 September 2013

During a routine inspection

The practice leaflet gave the contact telephone number, opening times and advice to patients about out of hour�s arrangements. There was also information about how to make a complaint including contact details for the local patient advice and liaison (PALs) team.

Patients we spoke with told us: �I have no complaints, I mostly see the same GP.� �It is great.� �I can always get an appointment and don�t wait long.� �I am always told if there is a delay.� �I am quite happy with the care I receive.�

We saw that staff had attended training in relation to child protection and safeguarding adults. The registered manager (one of the GP's) had achieved level three safeguarding and was the safeguarding lead within the practice. All other staff had completed level one, two or three safeguarding training.

We saw staff meetings were held and minutes were kept. We looked at the minutes of the most recent meeting that covered topics such as; new patient registrations, handover and patient requests.