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Felixstowe Road Medical Practice Good

Reports


Inspection carried out on 04/11/2019

During an inspection looking at part of the service

We previously carried out an announced comprehensive inspection at Felixstowe Road Medical Practice on 7 November 2018. The practice was rated as good overall and good for providing effective, caring, responsive and well led services. It was rated requires improvement for providing safe services and for providing effective services for one population group; people experiencing poor mental health (including people with dementia). As a result of the findings on the day of the inspection, the practice was issued with a requirement notice for Regulation 9 (person centered care) and Regulation 17 (good governance).

We carried out an announced focused inspection at Felixstowe Road Medical Practice on 4 November 2019. This inspection was to follow up on the breaches of regulation identified at the previous inspection.

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

The practice is rated as good overall, good for providing safe services and good for the population group people experiencing poor mental health (including people with dementia).

We found that:

  • Improvements had been made to the recruitment system and appropriate checks had been completed.
  • An overdue five year hardwiring electrical check had now been undertaken and essential actions completed.
  • Improvements had been made to ensure safe prescribing of medicines and the number of prescription items for co-amoxiclav, cephalosporins and quinolones had been reduced in response to national good practice guidance.
  • Improvements had been made to ensure all patients received appropriate follow up in a timely manner. In particular, we saw that the number of patients with mental health needs who were excepted from the quality and outcomes framework (QoF) had been reduced.
  • All complaints were acknowledged, and complainants were informed of their right to refer their complaint to the Parliamentary Health Service Ombudsman.

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

Review carried out on 7 August 2019

During an annual regulatory review

We reviewed the information available to us about Felixstowe Road Medical Practice on 7 August 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

Inspection carried out on 7/11/2018

During a routine inspection

Inspection carried out on 17 December 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Badcock & Partners on 17 December 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 were able to make an appointment 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 sought feedback from staff and patients, which it acted on.

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

Importantly the provider should;

  • Ensure infection control leads are trained to the appropriate level. Ensure improvements are made to the management, monitoring and auditing of the prevention and control of infection.
  • Ensure improvements are made to the monitoring and auditing of fridge temperatures.

  • There was scope to improve and extend learning from significant events. The practice should also consider whether some complaints merit investigation as a significant event in order to maximise learning.

Ensure that  all waiting areas of the practice can be clearly seen by reception staff to ensure the safety and security of vulnerable patients.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice