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Olive Medical Practice Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 25 February 2020

We carried out an announced comprehensive inspection at Olive Medical Practice on 25 September 2019. The inspection identified shortfalls in meeting the required standards and the practice was rated as Requires Improvement overall with key question Safe and population group Working age people (including those recently retired and students) rated as inadequate. The key questions Effective, Caring, Responsive, Well Led and the other population groups were rated as requires improvement. We issued a warning notice for breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (Safe care and treatment).

The full comprehensive report for the September 2019 inspection can be found by selecting the ‘all reports’ link for Olive Medical Practice on our website at

This inspection was an announced focused inspection carried out on 28 January 2020 to assess the progress achieved by the practice in implementing their plan to meet the legal requirements identified in the warning notice for breach of regulation 12. We did not rate the service or key question Safe at this inspection. The practice rating remains Requires improvement overall. A further comprehensive inspection will be carried out in the near future in accordance with our inspection methodology to further monitor improvements and update the practice ratings accordingly.

At this inspection we found:

  • Good progress in meeting the requirements of the warning notice had been achieved.
  • Evidence presented demonstrated positive achievement and progress in improving safeguarding processes. Work alongside the clinical commissioning group (CCG) safeguarding team and other GP practices in the locality was in progress to ensure clear and consistent record keeping and patient safeguarding coding was established.
  • The practice now implemented ‘did not attend appointment’ and ‘child not brought to appointment’ policies. The implementation of the policies was subject to weekly checks and monthly audits to ensure patients who had missed appointments were followed up.
  • There was now a system for reviewing test results, including cytology, in a timely manner, which had resulted in no backlog of results waiting to be reviewed.
  • The practice was part of a pilot scheme whereby correspondence work flow was reviewed and sorted at a ‘hub’ location. At the time of this visit, the hub had experienced some problems which resulted in a backlog of electronic correspondence for the practice to review. The hub had assured the practice that all urgent correspondence had been responded to and actioned. A plan to address the backlog of correspondence was being implemented.
  • Monitoring of the decision making of those working in advanced clinical roles was established.
  • Systems to monitor, review and respond to patient safety alerts were comprehensive and effective.

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

Inadequate

Effective

Requires improvement

Caring

Requires improvement

Responsive

Requires improvement

Well-led

Requires improvement
Checks on specific services

People with long term conditions

Requires improvement

Families, children and young people

Requires improvement

Older people

Requires improvement

Working age people (including those recently retired and students)

Inadequate

People experiencing poor mental health (including people with dementia)

Requires improvement

People whose circumstances may make them vulnerable

Requires improvement