OHP - MGS Medical Practice

We carried out a desk based announced inspection review at OHP-MGS Medical Practice Medical Practice on 21 July 2021. Overall, the practice is rated as good.

Ratings for each key question:

Safe – Good

Effective – Good

Well Led – Good

Following our previous inspection in December 2019 and January 2020, the practice was rated good overall and requires improvement for the working age people (including those recently retired and students) population group.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for OHP-MGS Medical Practice on our website at www.cqc.org.uk

Why we carried out this review

This inspection was a focused review of information to follow up on:

• The working age people (including those recently retired and students) population group, which was rated as requires improvement at the last inspection in December 2019 and January 2020.
• Breaches of regulations and ‘shoulds’ identified at the previous inspection. These were related to health & safety, staffing & recruitment and areas identified for improvement which included the uptake of cervical screening and childhood immunisations.

How we carried out the inspection

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our reviews differently.

This inspection was carried out in a way which enabled us to not have to undertake an onsite visit. This was with consent from the provider and in line with all data protection and information governance requirements.

This included:

• Conducting staff interviews using video conferencing / telephone.
• Requesting evidence from the provider

Our findings

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 requires improvement for the population group families, children and young people.

We found that:

• The practice cervical screening rates remained below the national minimum uptake. However, there was evidence that the practice had taken action to encourage the uptake of cervical cancer screening by patients. This was demonstrated by data which showed an increase in uptake since the last inspection.
• The practice uptake for childhood immunisations were below the national minimum uptake in all five indicators.
• The outcome of fire drills was appropriately documented, analysed and learned from.
• The competency checks for health trainers had been reviewed and clearly defined the skills to be assessed.
• The practice business continuity/major disasters plan had been reviewed and risk assessments completed to mitigate the level of risk to patients, staff and assets in the event of disruption. The plan had also been updated to include COVID-19 safe practice guidance.
• The practice had reviewed its systems for recording the investigation, outcomes, improvement and learning following the review of significant events, audits and complaints.
• Information was available to patients and their families/carers on how to escalate their complaints if required.
• The practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic.
• Evidence provided showed that action had been taken to improve management oversight and governance arrangements at the practice.

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

• Take action to improve the uptake of childhood immunisations.
• Continue to improve the uptake of cervical screening.

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