• Doctor
  • GP practice

Magna Group Practice

Overall: Good read more about inspection ratings

Highthorn Road, Kilnhurst, Rotherham, South Yorkshire, S64 5UP (01709) 582522

Provided and run by:
Magna Group Practice

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Magna Group Practice on 6 July 2023. 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 Magna Group Practice, you can give feedback on this service.

5 November 2019

During an annual regulatory review

We reviewed the information available to us about Magna Group Practice on 5 November 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.

27 July 2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Magna Group Practice - Valley Health Centre on 23 November 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the November 2016 inspection can be found by selecting the ‘all reports’ link for Magna Group Practice - Valley Health Centre on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 27 July 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 on 23 November 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as Good.

Our key findings were as follows:

  • Systems for the management of safety alerts had been improved and this had ensured alerts were actioned in a timely manner. A record of actions taken in respect of the alerts had been developed and maintained.

  • Action had been taken in respect of blinds and blind cords to minimise the risk of serious injury due to entanglement.

  • Infection prevention and control (IPC) processes and monitoring systems had been improved.

  • Stock control processes had been improved to ensure equipment does not exceed the expiry date.

  • Improved systems for the management of blank prescription forms and security arrangements had been implemented in line with NHS guidance.

  • Improved systems had been implemented to ensure the cold chain was maintained in vaccine storage fridges in line with Public Health England guidance.

  • The practice recruitment policy and procedure had been implemented and required recruitment checks had been completed.

  • Storage arrangements for oxygen cylinders had been improved and oxygen cylinders were safely and securely stored.

  • The provider had obtained copies of health and safety risk assessments undertaken by the landlord for the Wath branch site and had assured themselves that required health and safety tasks were being undertaken by the landlord.

The provider had also made the following improvements since the last inspection:

  • Clinical staff had undertaken the relevant level of safeguarding training.

  • Emergency equipment had been checked at least weekly.

  • Systems for updating patients' medicines following changes by secondary care providers had been reviewed and improved.

  • Frequency of meetings had been improved and minutes of meetings were more detailed.

  • Chaperone training had been provided for all non-clinical staff.

  • Up to date fire risk assessments were in place.

However, there were also areas of practice where the provider should make improvements.

  • All new employees should undergo a pre-employment health assessment, which should include a review of immunisation needs.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

23 November 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Magna Group Practice on 23 November 2016. Overall the practice is rated as Requires Improvement.

Our key findings across all the areas we inspected were as follows:

  • There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
  • Staff had not consistently followed the processes in place to monitor and prevent any possible risks to patients. Processes to assess and manage risks to patients were not always applied consistently and required additional monitoring to ensure improvement. For example, there were some shortfalls in systems for the management of safety alerts, infection prevention and control, security of prescription forms, cold chain for vaccine storage fridges and staff recruitment.

  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. The provider had trained staff 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 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.

The areas where the provider must make improvement are:

  • Improve systems for the management of safety alerts to ensure all alerts are actioned in a timely manner commensurate with risk and a record of actions taken is maintained. Review and implement the actions in the Department of Health estates and facilities alert January 2015 relating to blinds and blind cords to minimise the risk of serious injury due to entanglement.

  • Improve infection prevention and control (IPC) processes and monitoring systems in line with The Health and Social Care Act 2008: Code of practice on the prevention and control of infections and related guidance. Develop and implement an action plan to address shortfalls identified in audits and clarify staff roles and responsibilities in IPC processes. Improve stock control processes to ensure equipment does not exceed the expiry date.
  • Implement consistent systems for the management of blank prescription forms in line with NHS protect security of prescription forms guidance 2013.

  • Implement consistent systems across all sites to ensure the cold chain is maintained in vaccine storage fridges and appropriate action and a record of the action taken is maintained when temperatures are outside the recommended ranges in line with Public Health England; Protocol for ordering, storing and handling vaccines2014.

  • Consistently implement the practice recruitment policy and procedure and ensure all appropriate recruitment checks are completed prior to employment.

  • Provide a warning sign where oxygen is stored at Thryburg site and ensure oxygen cylinders are safely stored.

  • The provider must obtain copies of health and safety risk assessments undertaken by the landlord for the Wath branch site to ensure all actions that are the responsibility of the provider are completed. The provider must periodically check health and safety records at the branch site in order to assure themselves all actions are being undertaken by the landlord. The provider must ensure health and safety checks at this branch site such as gas service and fire extinguisher service are up to date.

The areas where the provider should make improvement are:

  • Provide evidence clinical staff have undertaken the relevant level of safeguarding training.

  • Emergency equipment should be checked at least weekly in line with recommendations by the Resuscitation Council.

  • Review and risk assess the systems for updating patient’s medicines following changes by secondary care providers.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice