St Margarets Medical Practice

Background to this inspection

Updated 24 March 2017

St Margarets Medical Practice is based in Olton, Solihull which is an area of the West Midlands. The practice has a General Medical Services contract (GMS) with NHS England. A GMS contract ensures practices provide essential services for people who are sick as well as, for example, chronic disease management and end of life care and is a nationally agreed contract. The practice

also provides some enhanced services such as minor surgery, childhood vaccination and immunisation schemes. The practice also runs an anti-coagulation clinic for the practice patients.

The practice provides primary medical services to approximately 7,000 patients in the local community. The practice is run by four GP partners; (two male and two female). The nursing team consists of three practice nurses and two health care assistants. The non-clinical team consists of administrative and reception staff and a practice manager. The practice supports Birmingham University in the mentoring of student nurses.

The area served has lower level of deprivation compared to England as a whole and ranked at nine out of ten, with ten being the least deprived. The practice is open to patients between 8am and 6.30pm Monday to Friday. The practice does not offer extended opening hours. Urgent appointments are available daily. Telephone consultations are also available and home visits for patients who are unable to attend the surgery. The out of hours service is provided by ‘Badger’ and the NHS 111 service, information about this is available on the practice website.

The practice is part of NHS Solihull Clinical Commissioning Group (CCG) which has 38 member practices. The CCG serve communities across the borough, covering a population of approximately 238,000 people. (A CCG is an NHS Organisation that brings together local GPs and experienced health care professionals to commission healthcare services for the local populations).

Overall inspection

Good

Updated 24 March 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection visit at St. Margarets Medical Practice on 14 June 2016. As a result of our comprehensive inspection breaches of legal requirements were found and the practice was rated as requires improvements for providing safe and well led services.You can read the report from the comprehensive inspection on 14 June 2016, by selecting the 'all reports' link for St Margarets Medical Practice on our website at www.cqc.org.uk.

This was a focused desk based review of St Margarets Medical practice carried out on 20 December 2016 to check that the provider had made improvements. This report only covers our findings in relation to those requirements. Overall the practice is now rated as Good.

Our key findings across all the areas we inspected were as follows:

Since our comprehensive inspection in June 2016, the practice had applied for disclosure and barring (DBS) checks for non-clinical staff members who chaperoned (DBS checks identify whether a person has a criminal record or is on an official list of people barred from working in roles where they may have contact with children or adults who may be vulnerable). The practice policy on chaperoning had been updated with the recognised national guidelines and staff had completed the relevant training for this role in August 2016.
We received confirmation that Disclosure and Barring (DBS) checks had been completed for all the nursing staff and the practice had updated the recruitment procedures to ensure all staff due to commence at the practice had the relevant checks in place.

All staff had completed an occupational health vaccination and immunisation risk assessment form. Staff had been assessed by the occupational health department and had been offered vaccinations based on guidelines for staff working in general practice. An up to date list of staff and their immunisation status was now in place and copies of vaccination certificates were stored on the employment record for each member of staff

We saw that an electrical wiring system check that had been identified as a risk during the fire risk assessment completed in July 2015 had been actioned.

The practice had introduced a formal meeting schedule to ensure all staff received effective communication.

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice