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Lanark Medical Centre Ground Floor Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 20 March 2020

We carried out an announced comprehensive inspection at Lanark Medical Centre Ground Floor (Dr Aseem Kashif) on 30 January 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 this practice as requires improvement overall.

We rated the practice as requires improvement for providing effective and well-led services because:

  • Some performance data was significantly below local and national averages.
  • Systems and processes to ensure good governance in accordance with the fundamental standards of care required had not always identified the shortfalls within the service.

We rated the practice as good for providing safe, caring and responsive services because:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients received effective care and treatment that met their needs.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • There was a clear leadership structure and staff felt supported by management.

The areas where the provider must make improvements are:

  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

The areas where the provider should make improvements are:

  • Continue to review and improve the uptake of cervical screening and the childhood immunisation programme.
  • Continue to improve the performance rates for the prescribing of hypnotics and NSAIDs.
  • Action the outcomes of the recent Infection Prevention and Control (IPC) audit.

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

Requires improvement

Caring

Good

Responsive

Good

Well-led

Requires improvement