Dr Colin Marks Also known as Dr.Colin Marks

We carried out an announced comprehensive inspection at Dr Colin Marks on the 25 April and 16 May 2018. At this inspection we rated the practice as good overall and for the key questions of safe, caring, responsive and well-led with the exception of effective which we rated requires improvement. The full comprehensive report on the inspection can be found by selecting the ‘all reports’ link for Dr Colin Marks on our website at www.cqc.org.uk.

We carried out an announced focused inspection at Dr Colin Marks on the 5 December 2018. This inspection was carried out to review the actions taken by the practice and to confirm whether the practice was providing an effective service and was now meeting legal requirements.

The overall rating for the service is Good.

The key question was rated as:

Are services effective? - Good

At this inspection, we found:

• The provider had purchased a training package for non-clinical staff and introduced a monitoring system to ensure non-clinical staff completed the necessary training for their roles. The provider had set dates for staff to complete the training package by the 20 January 2019. Staff had protected time to complete their training.
• The provider had completed the non-clinical staff appraisals, this included reviewing their educational development.
• The practice had a small team and information was shared regularly between the team. In addition, the provider had introduced quarterly practice meetings. Meetings had occurred in July and October 2018.
• The provider had put in place a system to monitor the management of safety alerts.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information

This practice is rated as Good overall. (Previous inspection March 2015 – Good Overall)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Requires Improvement

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Dr Colin Marks on 25 April and 16 May 2018 as part of our inspection programme.

At this inspection we found:

• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• Patients gave positive feedback and the practice hadn’t received any complaints in the last two years.

The areas where the provider must make improvements are:

• Ensure annual appraisals are completed for non-clinical staff.
• Review and improve how training for non-clinical staff is monitored.

The areas where the provider should make improvements are:

• Provide staff with access to and training in the use of an automated external defibrillator (used to attempt to restart a person’s heart in an emergency) in accordance with the Resuscitation Council (UK) recommendations for primary care.
• Ensure practice meetings are formalised and minuted with actions.
• Ensure that it is documented when safety and medicine alerts were reviewed and determined to not be relevant to the practice.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice