Stockport Medical Group Also known as Edgeley Medical Practice

We carried out an announced comprehensive inspection at Stockport Medical Group on 15 January 2019 as part of our inspection programme. We rated the practice as requires improvement for providing safe services and good overall.

The full comprehensive report on the January 2019 inspection can be found by selecting the ‘all reports’ link for Stockport Medical Group on our website at www.cqc.org.uk.

At our inspection in January 2019 we rated the practice as requires improvement for providing safe services because:

• The practice did not have safe and effective systems and processes to manage some higher risk medicines.
• The practice did not have an effective recruitment procedure which included recording and retaining all information required by Schedule 3 of the Health and Social Care Act.
• The practice did not have comprehensive risk assessments.
• Records of some staff immunisations were not up to date.

On 19 March 2019, we carried out a focused inspection of the safe key question. We visited the practice to confirm it had carried out the plan to meet the legal requirements in relation to the breaches in regulations identified in our previous inspection on 15 January 2019. This report covers our findings in relation to those requirements.

At this inspection, we found that the provider had satisfactorily addressed all legal requirements.

We have rated this practice as good for providing safe services.

We found that:

• The practice provided care in a way that kept patients safe and protected them from avoidable harm.
• The system for recording the monitoring of patients prescribed higher risk medicines had been much improved.
• The recruitment policy and procedure were improved and met the requirements of Schedule 3 of the Health and Social Care Act.
• Comprehensive risk assessments in relation to fire, buildings and patients had been completed.
• Records of staff immunisations were up to date and there was now management oversight of this.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

We carried out an announced comprehensive inspection at Stockport Medical Group on 15 January 2019 as part of our inspection programme. At the last inspection conducted in February 2016 we rated the practice as good overall.

Our judgement of the quality of care at this service is based on a combination of what we found when we inspected, information from our ongoing monitoring of data about services and information from the provider, patients, the public and other organisations.

The practice is rated as good overall. We rated the practice as good for providing effective, caring, responsive and well-led services.

This means that:

• People who used the service were generally protected from avoidable harm and risk of harm, however management of patient medicines were not always safe, some staff had been recruited without all the required checks being in place.
• Patients had good outcomes because they received effective care and treatment that met their needs.
• Patients were supported, treated with dignity and respect and were involved as partners in their care.
• Patients’ needs were met by the way in which services were organised and delivered.
• The leadership, governance and culture of the practice promoted the delivery of high quality person-centred care.
• Safeguarding measures were well embedded, rigorously managed and staff provided excellent examples of interventions.

We rated the practice as requires improvement for providing safe services because:

• The practice did not have safe and effective systems and processes to manage some higher risk medicines.
• The practice did not have an effective recruitment procedure which included recording and retaining all information required by Schedule 3 of the Health and Social Care Act.
• The practice did not have comprehensive risk assessments.
• Some staff immunisations were not up to date.

There were areas where the provider must make improvements:

• Ensure care and treatment is provided in a safe way to patients.

There were areas where the provider should make improvements:

• Establish an effective patient participation group.
• Record the reasons for temperatures in practice refrigerators being out of range.

We saw one area of outstanding practice:

• Systems to monitor and identify vulnerable patients who may be at risk of abuse were comprehensive and rigorous.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice