14 Aug to 15 Aug 2019
During a routine inspection
We carried out an announced comprehensive inspection at Mid Hampshire Health Care on 14th and 15th August 2019 as part of our inspection programme.
This service is registered with CQC under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. There are some general exemptions from regulation by CQC which relate to particular types of service and these are set out in of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
The provider has a registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Our key findings were:
- The provider worked in association with the member GP practices, other local services and key external stakeholders to support the local geographical area with the provision of extended primary care services.
- Staff had the information they needed to deliver safe, effective and holistic support to patients.
- Patients received co-ordinated and person-centred care which was innovative and forward-thinking.
- Staff treated patients with kindness, respect and compassion.
- We received 94 comment cards from patients using the services included in this inspection. We did not speak to any patients during the inspection.
- The provider organised and delivered services to meet patients’ needs, as well as the needs of its member GP practices.
- There was evidence of comprehensive performance data collection, but the use of two-step cycle audits to drive improvement was not fully utilised.
- Leaders at all levels were visionary, and knowledgeable about issues and priorities relating to the quality and future of its services. They understood the challenges and were addressing them.
- The provider embraced innovation through all areas of its services and demonstrated strong commitment to the continuous improvement of primary care services.
- There were clear responsibilities, roles and systems of accountability to support good governance and management.
- Staff were valued and encouraged to progress in their professional development and career aspirations.
The areas where the provider should make improvements are:
- Continue to review staff compliance with provider policies, specifically to ensure medicines are being correctly stored when not in use and the safety of lone working staff is maintained.
- Consider adding dates and version control to business continuity plans to ensure staff have access to the most up to date versions.
- Consider the completion of two-step cycle audits to drive improvement across each of the services provided.
Dr Rosie Benneyworth BM BS BMedSci MRCGPChief Inspector of Primary Medical Services and Integrated Care