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Inspection Summary


Overall summary & rating

Good

Updated 28 November 2019

We carried out an announced comprehensive inspection at HMC Hounslow on 05/03/2019. The overall rating for the practice was Requires Improvement. The full comprehensive report on the inspection can be found by selecting the ‘all reports’ link for HMC Hounslow on our website at www.cqc.org.uk.

This inspection, on 15/10/2019, was an announced comprehensive inspection to confirm that the practice had carried out their plan to meet the requirements that we identified in our previous inspection on HMC Health Hounslow. This report covers our findings in relation to those requirements and any improvements made since our last inspection. The practice is now rated as Good overall.

This inspection focused on the following key questions:

Are services safe?

Are services effective?

Are services caring?

Are services responsive?

Are services well led?

We based our judgement of the quality of care at this service on a combination of:

  • What we found when we inspected
  • Information from our ongoing monitoring of data about services and
  • Information from the provider, patients, the public and other organisations.

We have rated this practice as good overall and good for all population groups.

We found that:

  • The service had made changes to ensure care and treatment was provided in a safe way to patients.
  • The service had established effective systems and processes to ensure good governance in accordance with the fundamental standards of care in response to our previous inspection.
  • The service had ensured specified information was available regarding each person employed.
  • The service had appropriate standards of cleanliness and hygiene.
  • The service had adequate systems to assess, monitor and manage risks to patient safety.
  • The service organised and delivered services to meet patients’ needs.
  • The service listened to complaints and used them to improve the quality of care.
  • The service involved the public, staff and external partners to sustain care standards. This included an active patient participation group.

Whilst we found no breaches of regulations, the provider should:

  • Continue to monitor patient feedback in relation to telephone access issues being experienced.
  • Continue to improve the identification of carers to enable this group of patients to access the care and support they need.
  • Improve uptake of cervical screening at the practice.
  • Consider sepsis awareness refresher training for non-clinical staff.
  • Follow up failsafe processes for some high-risk medicines.
  • Ensure recruitment documents are up-to-date for all staff.
  • Consider additional internal thermometers for vaccine fridges in line with current guidance.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Inspection areas

Safe

Good

Effective

Good

Caring

Good

Responsive

Good

Well-led

Good
Checks on specific services

People with long term conditions

Good

Families, children and young people

Good

Older people

Good

Working age people (including those recently retired and students)

Requires improvement

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good