Background to this inspection
Updated
6 July 2018
Central Milton Keynes Medical Centre provides a range of primary medical services, including minor surgical procedures, from its location at Bradwell Common in Milton Keynes. It serves patients who live in the Bradwell Common, Heelands, Oldbrook, Conniburrow, Bradwell Village, Campbell Park and Loughton areas of Milton Keynes. It is part of the NHS Milton Keynes Clinical Commissioning Group (CCG). The practice holds a General Medical Services (GMS) contract for providing services, which is a nationally agreed contract between general practices and NHS England for delivering general medical services to local communities.
The practice serves a population of approximately 19,000 patients with slightly lower than national average populations of patients aged over 65 years. The practice population is largely White British, with 33% of the practice population being from Black and Minority Ethnicity backgrounds.
Information published by Public Health England, rates the level of deprivation within the practice population group as five on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest.
The clinical team consists of four male GP partners, four female GP partners, one salaried GP (female) seven practice nurses (female), three health care assistants (female) and two phlebotomists (female). The team is supported by a practice manager and a team of non-clinical, administrative staff. The practice also employs a care coordinator (former District Nurse) and a paramedic to support the clinical team. Members of the community midwife and health visiting team operate regular clinics from the practice location. Trust community staff (District nurses) are also based at the premises. The practice is a training practice and accepts registrars every year. (Registrars are fully qualified and registered doctors training to become GPs). At the time of our inspection there was one male GP registrar in training. The practice employs two regular male locums when additional clinical cover is required.
The practice operates from a two-storey purpose built property. Patient consultations and treatments take place on the ground level. There is a large car park outside the surgery, with disabled parking available. There is a pharmacy and a dental practice situated on the same site but not attached to the practice.
Central Milton Keynes Medical Centre is open between 8am and 6.30pm Monday to Friday. The out of hours service can be accessed via the NHS 111 service. Information about this is available in the practice and on the practice website and telephone line.
The practice provides family planning, surgical procedures, maternity and midwifery services, treatment of disease, disorder or injury and diagnostic and screening procedures as their regulated activities.
Updated
6 July 2018
This practice is rated as Good overall. (Previous inspection 02/2015 – 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 announced comprehensive inspection at Central Milton Keynes Medical Centre on 13 June 2018. This inspection was carried out under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service and to provide a rating for the service under the Care Act 2014.
At this inspection we found:
- The practice had 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.
- However, we found gaps in their safety and risk management systems, in particular, risks associated with staff performing chaperone duties without an appropriate background check had not been assessed. The practice undertook a risk assessment of staff performing these duties which was submitted to us following our inspection.
- 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.
- The majority of patients found the appointment system easy to use and reported that they were able to access care when they needed it.
- The practice had good facilities and was well equipped to treat patients and meet their needs.
- There was a clear leadership structure and staff felt supported by management.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
However, there were areas where the provider should make improvements:
- Undertake regular review and analysis of significant events and complaints to identify any trends and areas of risk or improvement.
- Follow up on actions identified in the legionella risk assessment.
- Continue to consolidate staff immunity records to ensure that the practice is operating in accordance with Public Health England guidance.
- Maintain a log of actions taken in response to all safety alerts received.
- Continue with efforts to encourage uptake of cancer screening services, in particular cervical screening.
- Develop a programme of regular clinical audit to ensure efficacy and improve outcomes for patients.
- Continue to identify and support carers in their population.
- Regularly review policies and procedures to ensure they remain fit for purpose.
- Consider formalising the practice’s strategy in a documented business plan.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.