This practice is rated as Good overall. (Previous inspection 4 November 2014 – Good)
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
We carried out an unannounced comprehensive inspection at Wellington Medical Centre on 24 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. They ensured that care and treatment was delivered according to evidence- based guidelines.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- There was a strong focus on continuous learning, mentorship and improvement at all levels of the organisation.
- The practice was in the process of implementing an initiative called ‘House of Care’. A holistic approach to managing patients with long term conditions to be more informed and involved in their care and a shared approach to providing the care and treatment they needed.
- The practice worked with other local health, social care and voluntary services. For example, the Taunton and Area Wellbeing Service to provide additional support in the community, signposting and enabling patients to take better control of their health and wellbeing.
- The practice initiated a project with Weston Power, Western Water and Taunton Borough Council and was aimed at patients with long term conditions to improve some of their living environments (cold homes) by signposting them to other organisations for support to initiate change in their homes
The areas where the provider should make improvements are:
- Review arrangements for maintaining a list of those staff who had attended fire drills to ensure that all staff had participated.
- Review arrangements to continue maintaining the records of the training achieved by the clinicians.
- Continue to review the arrangements for their mental health register, those patients diagnosed with schizophrenia, bipolar affective disorder and other psychoses so that they had a comprehensive, agreed care plan documented in the previous 12 months.
- Review arrangements for maintaining a consistent use of consent forms by clinicians for the provision of treatment.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice