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Montpelier Health Centre Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 2 September 2019

We carried out an inspection of this service following our annual review of the information available to us including information provided by the practice. We carried out an inspection of this service due to the length of time since the last inspection as well as the information received during our review which indicated that there may have been a significant (either deterioration or improvement) to the overall quality of care provided since the last inspection. Due to these reasons we conducted a full comprehensive inspection of this service.

This inspection focused on the following key questions:

  • Is the service safe?
  • Is the service effective?
  • Is the service caring?
  • Is the service responsive?
  • Is the service well led?

We have rated this practice as requires improvement overall.

We rated the practice as requires improvement for providing effective services.

We found that;

  • Practice systems did not ensure consistently appropriate exception reporting or give assurances that all patients received appropriate care and treatment.
  • Staff training was not delivered in line with practice policy and oversight of training was not embedded.

These areas affect all population groups so we have rated all population groups as requires improvement.

We rated the practice as requires improvement for providing well led services.

We found that;

Governance systems did not clearly demonstrate an embedded programme of assessment, monitoring or mitigation of risk. For example:

  • Practice processes to record and act on medicine alerts were not always comprehensive.
  • Practice processes to mitigate risk to patients and staff was not always effective.

We rated the practice as good for providing safe, caring and responsive services.

We found that;

  • The practice provided clinical care in a way that kept patients safe and protected them from avoidable harm.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.

The areas where the provider must make improvements 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;

  • Improve the identification of carers to enable this group of patients to access the care and support they need.
  • Continue to improve uptake of cervical smears.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Rosie Benneyworth

Chief Inspector of PMS and Integrated Care

Inspection areas

Safe

Good

Effective

Requires improvement

Caring

Good

Responsive

Good

Well-led

Requires improvement
Checks on specific services

People with long term conditions

Requires improvement

Families, children and young people

Requires improvement

Older people

Requires improvement

Working age people (including those recently retired and students)

Requires improvement

People experiencing poor mental health (including people with dementia)

Requires improvement

People whose circumstances may make them vulnerable

Requires improvement