The Care Quality Commission
  • Doctor
  • GP practice

Purbeck Health Centre

Overall: Good read more about inspection ratings

Stantonbury, Milton Keynes, Buckinghamshire, MK14 6BL (01908) 318989

Provided and run by:
Purbeck Health Centre

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Purbeck Health Centre on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Purbeck Health Centre, you can give feedback on this service.

8 October 2020

During an inspection looking at part of the service

We carried out an announced inspection at Purbeck Health Centre on 17 September 2019. The overall rating for the practice was good with the practice rated as requires improvement for being safe.

From the inspection on 17 September 2019, the practice was told they must:

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

In addition, the practice were told they should:

  • Improve maintenance of employment records for locum staff, ensuring consistencies in records kept, particularly for reference requests.
  • Undertake an annual review of complaints and significant events, to identify trends and drive improvement.
  • Complete all outstanding appraisals for staff.
  • Continue to monitor the practice’s performance, in particular the number of patients being excepted.
  • Develop a formally documented strategic plan.
  • Ensure all staff complete equality and diversity training.
  • Appoint a Freedom to Speak Up Guardian.
  • Ensure the practice’s registration with the CQC is updated and accurately maintained. Ensure the regulated activity family planning services is added to the provider registration.

The full comprehensive report on the inspection carried out in September 2019 can be found by selecting the ‘all reports’ link for Purbeck Health Centre on our website at www.cqc.org.uk.

This inspection was a desk top follow up focused inspection undertaken on 8 October 2020 as part of our inspection programme to follow up on concerns identified at our previous inspection.

We based our judgement of the quality of care at this service on a combination of:

  • documentation and information submitted by the provider.
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We have rated this practice as good overall and good for all population groups.

We found that:

  • Improvements had been made to practice protocols and procedures to reduce previously identified risks, including those relating to health and safety and appropriate background checks for all staff undertaking chaperone duties.
  • Evidence provided demonstrated improvements to the management of test results and hospital letters to ensure patients received timely support.
  • The practice had developed a process of undertaking annual reviews for both complaints and significant events, to identify trends and drive improvement. Copies of the latest annual reviews were submitted by the practice as evidence.
  • The practice had an annual record of staff appraisals which demonstrated all staff had received an appraisal last year.
  • All staff had completed equality and diversity training.
  • The practice had appointed a Freedom to Speak Up Guardian.
  • Following our previous inspection in September 2019, the practice was informed of the need to update their registration with the CQC to ensure it was accurate. During this inspection, we found sufficient action had not been taken as the practice was still not registered for the regulated activity family planning services. The practice confirmed they had halted the provision of any affected services and submitted an application to correct their registration with the CQC on 12 October 2020.

The areas where the provider should make improvements are:

  • Maintain full employment records for locum staff, ensuring consistencies in records kept, particularly for reference requests.
  • Continue to monitor the practice’s performance, in particular the number of patients being excepted.
  • Develop a formally documented strategic plan.
  • Ensure the practice’s registration with the CQC is updated and accurately maintained. Ensure the regulated activity family planning services is added to the provider registration.

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

17 September 2019

During an inspection looking at part of the service

We carried out an announced inspection at Purbeck Health Centre on 17 September 2019 as part of our inspection programme. We decided to undertake an inspection of this service following our annual review of the information available to us. This inspection looked at the following key questions:

  • Safe
  • Effective
  • Well-led

We based our judgement of the quality of care at this service 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.

We have rated this practice as good overall and good for all population groups. The practice was rated as requires improvement for providing safe services.

We found that:

  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs.
  • Clinical staff received regular updates and training and took steps to ensure they were familiar with the most recent clinical guidelines.
  • Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
  • There was a clear leadership structure and staff felt supported by management. The practice sought feedback from staff and patients, which it acted on.
  • The practice team demonstrated a commitment to learning and improvement at all levels of the organisation.

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

  • Systems and processes to reduce risks to patient and staff safety needed strengthening.
  • Risks to patients and staff had not adequately been assessed, in particular those relating to appropriate background checks for staff, health and safety, premises and security.
  • Systems for managing pathology results and actioning hospital letters needed further establishment.

The areas where the provider must make improvements are:

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

(Please see the specific details on action required at the end of this report).

The areas where the provider should make improvements are:

  • Improve maintenance of employment records for locum staff, ensuring consistencies in records kept, particularly for reference requests.
  • Undertake an annual review of complaints and significant events, to identify trends and drive improvement.
  • Complete all outstanding appraisals for staff.
  • Continue to monitor the practice’s performance, in particular the number of patients being excepted.
  • Develop a formally documented strategic plan.
  • Ensure all staff complete equality and diversity training.
  • Appoint a Freedom to Speak Up Guardian.
  • Ensure the practice’s registration with the CQC is updated and accurately maintained. Ensure the regulated activity family planning services is added to the provider registration.

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

30 January 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Purbeck Health Centre on 18 February 2015. The overall rating for the practice was good, however a breach of legal requirements was found. After the comprehensive inspection, the practice wrote to us and submitted an action plan outlining the actions they would take to meet legal requirements in relation to;

  • Regulation 17 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014 – good governance.

From the inspection on 18 February 2016, the practice were told they must:

  • Implement a risk management process that enables the practice to anticipate, identify, assess and mitigate risks to the provision of its services arising from incidents or events, including health and safety risks, fire, risks from water-borne infections and loss of all or parts of its service.

In addition, the practice were told they should:

  • Complete the infection control assessment that was recently commenced and take action to address any shortfalls, including the assessment of risk of water-borne infections. Ensure that the assessment is reviewed in line with Department of Health guidance to assess whether any actions have been effective.
  • Update the information available to patients about making a complaint.

The full comprehensive report on the February 2015 inspection can be found by selecting the ‘all reports’ link for Purbeck Health Centre on our website at www.cqc.org.uk.

This inspection was a desk-based focused review carried out on 30 January 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection on 18 February 2015. This report covers our findings in relation to those requirements and improvements made since our last inspection.

Overall the practice is rated as good.

Our key findings were as follows:

  • Systems had been improved to ensure that risks associated with health and safety, fire, infection control, water-borne infections and loss of all or parts of its service were adequately managed.
  • Up to date information was available for patients about making a complaint.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

18 February 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Purbeck Health Centre on 18 February 2015. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing well-led, effective, caring and responsive services. It was also good for providing services for older people, people with long term conditions, families, children and young people and working age people (including those recently retired and students). I was also good at providing services for people whose circumstances may make them vulnerable and people experiencing poor mental health (including people with dementia).

It required improvement for providing safe services.

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

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand.
  • There was continuity of care, with a variety of appointments available, and a minor illness service. Urgent appointments were available the same day.
  • The enhanced level of supervision, support and training for nursing staff enabled the practice to implement the minor illness service to ensure that the needs of patients using this service would be met by a skilled and competent nursing workforce.
  • The practice was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.

However there were areas of practice where the provider needs to make improvements.

Importantly the provider must:

  • Implement a risk management process that enables the practice to anticipate, identify, assess and mitigate risks to the provision of its services arising from incidents or events, including health and safety risks, fire, risks from water-borne infections and loss of all or parts of its service.

In addition, the provider should:

  • Complete the infection control assessment that was recently commenced and take action to address any shortfalls, including the assessment of risk of water-borne infections. Ensure that the assessment is reviewed in line with Department of Health guidance to assess whether any actions have been effective.
  • Make arrangements to improve privacy for patients speaking with staff at the reception desk.
  • Evaluate the recently implemented nurse-led minor illness service and the realigned appointment system, with a focus on patient feedback, to consider whether any extended opening hours are required to meet the needs of this population.
  • Update the information available to patients about making a complaint.
  • Set out a clear, documented long-term strategy for the practice with objectives against which improvements can be planned and progress measured.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice