The Care Quality Commission
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Archived: Princess Medical Centre

Overall: Good read more about inspection ratings

Princess Street, Woodlands, Doncaster, South Yorkshire, DN6 7LX (01302) 723406

Provided and run by:
Princess Medical Centre

All Inspections

7 March 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 Princess Medical Centre on 22 August 2017. The overall rating for the practice was good with requires improvement for being well-led. The full comprehensive report from August 2016 inspection can be found by selecting the ‘all reports’ link for Princess Medical Centre on our website at www.cqc.org.uk.

This inspection was a desk top review carried out on 7 March 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 22 August 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:

  • The provider had reviewed their arrangements to monitor and improve quality and identify risk. For example, a legionella risk assessment had been completed. Actions identified as part of the infection prevention and control audit were contained within an action plan and reviewed regularly. Prescriptions were now tracked through the practice.
  • The provider was in the process of drafting a service level agreement for the maintenance and upkeep of the premises with the landlord.

However there was an area of practice where the provider should make improvement:

  • Mangers should conduct appraisals with staff within the specified time frame.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

22 August 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at the Princess Medical Centre on 22 August 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 a 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 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.
  • Most risks to patients were assessed and well managed. However, the practice had not had a recent legionella risk assessment completed, the actions within the infection prevention and control audit were not monitored and reviewed regularly and prescriptions were not tracked through the practice.

The areas where the provider must make improvement are: 

  • Ensure the actions identified in the infection prevention and control audit are recorded, action taken to address areas identified for improvement and the plan updated accordingly.
  • Ensure prescriptions are tracked through the practice to comply with NHS Protect Security of prescription forms guidance (Updated August 2013).

The areas where the provider should make improvement are:

  • Review and update the significant event report form.
  • Revisit the contract with the landlord of the premises to include a service level agreement to determine who is responsible for the maintenance and upkeep of the premises, utilties and fixtures and fittings.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice