You are here

Swanswell Medical Centre Good

Inspection Summary


Overall summary & rating

Good

Updated 10 January 2018

Letter from the Chief Inspector of General Practice

We previously carried out an announced comprehensive inspection at Swanswell Medical Centre on 6 October 2016. The overall rating for the practice was requires improvement with requires improvement ratings in safe and well-led services and good ratings in effective, caring and responsive services. The full comprehensive report on the October 2016 inspection can be found by selecting the ‘all reports’ link for Swanswell Medical Centre on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 6 December 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 6 October 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 practice had made significant improvements to ensure that all patients requiring repeat prescriptions received appropriate reviews by their GP.
  • The practice monitored all blank prescriptions to ensure a clear audit trail.

  • The practice had carried out necessary health and safety risk assessments including fire risk assessments and taken any necessary actions.
  • The practice had made improvements to ensure all staff were aware of any significant events that had occurred and any learning that had taken place.
  • The practice had also made improvements to ensure all patients were informed of incidents when it was necessary.
  • Since our previous inspection, the practice had reviewed and updated a number of policies and procedures. For example, repeat prescribing to ensure effective processing of prescriptions and the staff training policy to enable more clarity on what the practice identified as mandatory training.
  • The practice had also made improvements to its system to monitor staff training levels.
  • All staff had received a recent appraisal and had a development plan in place.
  • Staff recorded outcomes from multidisciplinary meetings in patients’ notes and shared care plans with patients to give them the opportunity to comment.
  • The practice had reviewed its storage of clinical waste to ensure sharps bins were stored appropriately.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection areas

Safe

Good

Updated 10 January 2018

Effective

Good

Updated 3 February 2017

  • Data from the Quality and Outcomes Framework (QOF) (2014/15) showed patient outcomes were low compared to the national average. Staff this might be due to system changes at the time and more recent data from the practice showed progress was being made against current targets.
  • Staff assessed needs and delivered care in line with current evidence based guidance but needed to ensure effective systems were in place to ensure staff kept up to date with key training requirements.
  • Staff had the skills, knowledge and experience to deliver effective care and treatment.
  • The practice was working to ensure all staff had received their appraisals.
  • Staff worked with other health care professionals to understand and meet the range and complexity of patients’ needs.

Caring

Good

Updated 3 February 2017

  • Data from the national GP patient survey showed patients rated the practice similar to others in most aspects of care.
  • Patients said they were treated with compassion, dignity and respect and that they felt listened to. Patient involvement in decisions about their care and treatment was not always clearly demonstrated.
  • Information for patients about the services available was easy to understand and accessible.
  • We saw staff treated patients with kindness and respect, and maintained patient and information confidentiality.

Responsive

Good

Updated 3 February 2017

  • Practice staff reviewed the needs of its local population and engaged with the NHS England Area Team and Clinical Commissioning Group to secure improvements to services where these were identified. The practice participated in the CCG led Aspiring to Clinical Excellence scheme.
  • Patients said they found it easy 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.
  • Information about how to complain was available and easy to understand and evidence showed the practice responded quickly to issues raised.

Well-led

Good

Updated 10 January 2018

Checks on specific services

People with long term conditions

Good

Updated 10 January 2018

Families, children and young people

Good

Updated 10 January 2018

Older people

Good

Updated 10 January 2018

Working age people (including those recently retired and students)

Good

Updated 10 January 2018

People experiencing poor mental health (including people with dementia)

Good

Updated 10 January 2018

People whose circumstances may make them vulnerable

Good

Updated 10 January 2018