You are here

Sands End Health Clinic Good

Reports


Review carried out on 17 September 2019

During an annual regulatory review

We reviewed the information available to us about Sands End Health Clinic on 17 September 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.

Review carried out on 23 August 2019

During an annual regulatory review

We reviewed the information available to us about Sands End Health Clinic on 23 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 19 May 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 Sands End Health Clinic on 20 April 2016. The overall rating for the practice was good but required improvement for providing safe services. This was specifically in relation to some aspects of medicines management and fire safety precautions. The full comprehensive report on the 20 April 2016 inspection can be found by selecting the ‘all reports’ link for Sands End Health Clinic on our website at www.cqc.org.uk.

This inspection was a follow up desk based focused inspection carried out on 19 May 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulation that we identified in our previous inspection on 20 April 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

The practice is now rated good for providing safe services and the overall rating remains as good.

Our key findings were as follows:

  • Improvements had been made in the management and storage of medicines which now included an effective fridge temperature monitoring process and, a system to monitor that all medicines kept at the practice were in date.
  • Effective fire safety arrangements were now in place including fire extinguishers that were fit for purpose.

We also reviewed the actions taken since the last inspection to the areas where we identified the practice should make improvement and saw that they had been addressed.

Our findings were as follows;

  • Staff who undertook chaperone duties had undertaken additional training to expand their competency skills to effectively perform the role.
  • Improvements had been made to the practice’s cervical screening uptake rates. Data for 2015/16 showed that the percentage of women aged 25 to 64 years of age who had a cervical screening test performed in the preceding 5 years was comparable with the Clinical Commissioning Group (CCG) and national averages.
  • The practice had increased the number of patients identified as carers and currently had a carer’s register of 167 patients (2% of the practice list size).
  • Information about interpreting services was now made available to patients.
  • Arrangements were in place for the purchase of a new hearing loop to assist patients with a hearing impairment.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 20 April 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Sands End Health Clinic on 20 April 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.

  • Risks to patients were assessed and well managed with the exception of medicines management and fire safety equipment.

  • 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.

The areas where the provider must make improvement are:

  • Complete the recommendations of the fire risk assessment including replacement of expired fire extinguishers.

  • Ensure all medicines are within date and fit for use and the fridge temperature monitoring is robust.

The areas where the provider should make improvement are:

• Consider ways to improve the practice’s uptake for the cervical screening programme.

  • Advertise the interpreting service within the practice to inform patients of this service.

  • The provider should improve its identification of patients who are carers and the support offered to them by the practice.

  • Ensure all staff who act as chaperones are competent to provide this role.

  • Consider improving communication with patients who have a hearing impairment.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice