We carried out an announced comprehensive inspection at Field House Medical Group on 13 November 2017. The overall rating for the practice was requires improvement. The full comprehensive report on the November 2017 inspection can be found by selecting the ‘all reports’ link for Field House Medical Group on our website at .
This inspection was an announced focused site visit carried out on 27 June 2018 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the ‘musts’ (breaches of regulations) and ‘shoulds’ that we identified in our previous inspection on 13 November 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
At our inspection on 13 November 2017 we reported that the provider must:
• Ensure persons employed in the provision of the regulated activity receive the appropriate support, training, professional development, supervision and appraisal necessary to enable them to carry out their duties.
• Ensure care and treatment is provided in a safe way to patients.
• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
At our inspection on 13 November 2017 we reported that the provider should:
• Ensure reception staff receive awareness training and written guidance about signs of sepsis and recognising deteriorating patients.
• Continue with efforts to review and monitor processes for QOF; auditing areas of high exception reporting.
• Undertake a formal risk assessment to ensure the emergency medicines are appropriate for the activities provided by the practice.
We rated the location as requires improvement for providing safe, effective and well led services.
This practice is now rated as Good overall. (Previous rating November 2017 – Requires Improvement)
The key questions at this inspection are rated as:
Are services safe? – Good
Are services effective? – Good
Are services well-led? - Good
At this June 2018 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.
- There was a strong focus on team working, overarching governance, and improvement at all levels of the organisation.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.