South Doc Services Limited provides a GP led walk in centre service at Selly Oak Health Centre including ‘out-of-hours’ primary medical services between 6.30pm and 8.00pm weekdays and 8.00am to 8.00pm at the weekend and on bank holidays.
During our inspection we spoke with three patients who were using the out-of-hours service and seven members of clinical and administrative staff. This included the medical director who was also the registered manager at this location. Patients that we spoke with told us that they were happy with the service that they received.
There were systems in place to ensure the safety of patients which included learning from incidents, a clean and hygienic environment and the safe use of medicines administered on site.
However, we were concerned that the provider did not have robust arrangements in place to ensure patients were protected from the risks of unsuitable staff. Up to date criminal records checks (Disclosure and Barring Service checks) were not undertaken to support decisions about the suitability of new staff before they were employed.
We found the service was effective in meeting the wide ranging needs of patients that presented at the service and the varying levels of demand that were placed on the service. Care received by patients was audited and information shared with patient’s usual GP to support continuity of care between different providers.
Patients received a caring service. They told us that they were involved in discussions about the health care they received. We observed patients being treated with sensitivity by reception staff. However, we found few opportunities for patients to provide feedback about the care they had received.
The service was responsive to the needs of patients. Staff had access to equipment, guidance and where possible information about the patient to support clinical decisions and effectively respond to those in urgent need. However, the lack of oxygen as part of the emergency equipment meant staff may not always be able to immediately respond to a medical emergency that may arise. Access to the premises could be improved for patients with mobility difficulties however, the provider was limited by the constraints of the premises which it did not own.
Staff described the service as well-led. Staff at all levels felt supported and information was routinely shared with staff via email. There was good support for new members of staff. However, we found that there were limited opportunities for established staff to formally discuss issues relating to their work. Performance was monitored through audits but it was not always clear what action had been taken in response to findings.