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Henfield Medical Centre Good Also known as Henfield Medical Practice

Reports


Inspection carried out on 4 April 2017

During an inspection to make sure that the improvements required had been made

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Henfield Medical Centre on 6 October 2016. The overall rating for the practice was good but was rated as requires improvement for providing safe services. The full comprehensive report on the October 2016 inspection can be found by selecting the ‘all reports’ link for Henfield Medical Centre on our website at www.cqc.org.uk.

Following this inspection the practice sent to us an action plan detailing what they would do to meet the legal requirements in relation to the following:

  • Ensuring the safe and proper management of medicines are reviewed to protect patients against the risk of unsafe care and treatment.

  • Ensuring that the assessment, detection and controlling the spread of infections, including those that are associated with health care are reviewed so that their infection control audit procedure has a method of documenting how issues are resolved and when this was done.

Additionally we had found that:

  • The practice needed to review their complaints process to ensure patients are given information on how they can escalate a complaint should they remain dissatisfied.

  • The practice needed to record and ensure that the reasons for fridge temperatures going out of range was established.

This inspection was an announced focused inspection carried out on 4 April 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is still rated as good.

Our key findings were as follows:

  • The provider had reviewed all aspects of medicines management and devised new standard operating procedures which all appropriate staff had been notified of and signed to acknowledge the information within these.

  • The provider had reviewed their infection control audit process and now documented how issues were to be resolved and when these were to be completed by.

  • The provider had reviewed their complaints procedure and now ensured that information was provided to the complainant that allowed them to escalate a complaint should they remain dissatisfied.
  • The provider had reviewed how they recorded their fridge temperatures and documented the cause when temperatures went outside the accepted range and undertook appropriate actions.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 6 October 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Henfield medical practice on 6 October 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 been trained to provide them with 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. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients said they found it easy to make an appointment with a named GP and 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.

We saw three areas of outstanding practice:

  • The practice enabled patients to contact their GPs personal assistant should they have any concerns they needed to raise. This allowed for one person to deal with issues and for a smoother method of resolving concerns.
  • The practice had a drop in session every Wednesday afternoon for young patients and had been awarded a PACE Setter award for the work in attempting to reduce teenage pregnancy.
  • The practice operated a “patient passport” system for patients with long term conditions which nurtured a partnership between the practice and patient in managing their conditions.

The areas where the provider must make improvement are:

  • To ensure the safe and proper management of medicines are reviewed to protect patients against the risk of unsafe care and treatment.
  • To ensure that the assessment, detection and controlling the spread of infections, including those that are associated with health care are reviewed so that their infection control audit procedure has a method of documenting how issues are resolved and when this was done.

The areas where the provider should make improvements are:

  • The practice should review the complaints process to ensure patients are given information on how they can escalate the complaint if they remain dissatisfied.
  • The practice should continue to record and ensure that the reasons for fridge temperatures going out of range is established.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice