4 Feb 2020
During a routine inspection
We carried out an announced comprehensive inspection at Marybrook Medical Centre on 4 February 2020 as part of our inspection programme.
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 the practice as inadequate overall and requires improvement for all population groups.
We found that:
- Processes to respond to significant events and identify learning, were not effective.
- Processes to ensure the practice held appropriate emergency medicines were not effective.
- Processes to mitigate risk were not always effective.
- There was not effective oversight of staff training.
- Processes to ensure recruitment checks were consistently conducted including for locum staff, were not effective.
- Achievement for annual health reviews was below local and national averages.
- Processes to ensure privacy and dignity for patients were not embedded.
- Complaints were not consistently responded to in line with policy.
- There was a heavy reliance on locum staff and there was not effective oversight to ensure they received the appropriate training and information.
- Policies and procedures were not fully embedded to ensure compliance with the regulations.
Areas were the provider must make improvements are:
- Ensure care and treatment is provided in a safe way to patients.
- Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
Areas where the provider should make improvements are:
- Review arrangements for the safe storage of emergency medicines and equipment.
- Identify actions to improve the patient experience.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Rosie Benneyworth
Chief Inspector of PMS and Integrated Care