• Doctor
  • GP practice

Archived: Summerlee Medical Centre

Overall: Good read more about inspection ratings

Summerlee Road, Wellingborough, NN9 5LJ (01933) 682204

Provided and run by:
Dr Pasquali & Partners

Important: The provider of this service changed. See new profile

All Inspections

17 August 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 of Summerlee Medical Centre on 11 October 2016. The overall rating for the practice was good with requires improvement for safe.

The full comprehensive report from the October 2016 inspection can be found by selecting the ‘all reports’ link for Summerlee Medical Centre on our website at www.cqc.org.uk .

This inspection was an announced focused follow up inspection carried out on 17 August 2017 to confirm that the practice had carried out their plan to meet the recommendations for improvement that we identified in our previous inspection on 11 October 2016.

The areas identified as requiring improvement during our inspection in October 2016 were as follows:

The practice were told they should:

  • Implement a system to ensure Medicines & Healthcare products Regulatory Agency (MHRA) alerts are received and acted upon appropriately.

  • Ensure documentation in the staff files contains records of recruitment, training and appraisals.

  • Develop the patient participation group (PPG) to gather feedback from patients and consider the use of a website to convey information to patients.

  • Have an updated business continuity plan available ‘off-site’ to the partner and relevant managers.

  • Consider the development of a documented business plan, to evidence the vision and strategic plans for the practice.

    Overall the practice is now rated as good in all areas.

    Our focused inspection on 17 August 2017 showed that improvements had been made and our key findings across the areas we inspected were as follows:

  • There was an open and transparent approach to safety. The practice had improved the system to manage, review and monitor patient safety alerts. For example, alerts received from the Medicines & Healthcare products Regulatory Agency (MHRA).

  • Documentation in the staff files were complete and contained records of recruitment, training and appraisals.

  • An updated business continuity plan was available with a copy held off site by the practice manager.

  • A business plan was available that documented medium to long term priorities.

  • The practice was making good progress in developing a patient participation group. On account of their small patient population the practice had liaised with Nene clinical commissioning group to explore ways to engage with patients. This included innovative ideas such as a merged group with their sister practice in Irchester.

    The area where the provider should make improvement is:

  • Continue with their efforts in canvassing patients to join a patient participation group.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

11 October 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Summerlee Medical Centre on 11 October 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.
  • Risks to patients were assessed and managed across the practice. However, the system for recording action taken in response to medical and clinical alerts should be strengthened. Evidence to identify the action the practice had taken in response to updated guidance and thereafter updating records was not always clear.
  • Personnel records for some staff did not contain all relevant information to evidence that appropriate recruitment procedures had been followed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
  • Patients were positive about the standard of care they received and about staff behaviours. They said staff were attentive, kind, thorough and helpful. They told us that their privacy and dignity was respected and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was readily available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
  • Results from the national GP Patient survey indicated the practice was performing in-line with or above local and national averages. Patients confirmed that there was continuity of care, with urgent appointments available when required.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • In a small practice there was a clear leadership structure and staff felt supported by management.
  • The practice did not have a Patient Participation Group. The practice manager advised that arrangements would be put in place to form a group and recruit members. However, we saw that where patient feedback was given the practice took appropriate steps to act on it.
  • The provider did not have an operational website for this practice
  • The provider was aware of and complied with the requirements of the duty of candour.

The practice should take action in the following areas:

  • Implement a system to ensure Medicines & Healthcare products Regulatory Agency (MHRA) alerts are received and acted upon appropriately.
  • Ensure documentation in the staff files contains records of recruitment, training and appraisals.
  • Develop the patient participation group (PPG) to gather feedback from patients and consider the use of a website to convey information to patients.
  • An updated business continuity plan to be made available ‘off-site’ to the partner and relevant managers.
  • Consider the development of a documented business plan, to evidence the vision and strategic plans for the practice.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice