Letter from the Chief Inspector of General Practice
This practice is rated as Good overall. (Previous inspection February 2015, rating - Good)
The key questions are rated as:
Are services safe? – Requires Improvement
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:
Older People – Good
People with long-term conditions – Good
Families, children and young people – Good
Working age people (including those recently retired and students – Good
People whose circumstances may make them vulnerable – Good
People experiencing poor mental health (including people with dementia) - Good
We carried out an announced comprehensive inspection at Mid-Downs Medical Practice (also known as Newick Health Centre) on 23 November 2017. The inspection was carried out as part of our inspection programme.
At this inspection we found:
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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.
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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.
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Staff involved and treated patients with compassion, kindness, dignity and respect.
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The practice had good facilities and was well equipped to treat patients and meet their needs.
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The practice recognised that the patient’s emotional and social needs were as important as their physical needs.
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The practice ensured all recruitment checks were undertaken prior to staff starting employment.
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Blank prescription forms were not always kept securely in consulting rooms in accordance with national guidance.
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Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
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There was a strong focus on continuous learning and improvement at all levels of the organisation.
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The practice was pro-active in supporting patients, and their carers, with dementia and memory difficulties in the local community. The practice had recently set up a drop in ‘Dementia Café’ at the local village hall.
The areas where the provider must make improvements as they are in breach of regulations are:
The areas where the provider should make improvements are:
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Review the availability of emergency medicines to manage medical emergencies giving due regard to guidelines issued by the British National Formulary and the Resuscitation Council (UK).
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The practice should continue their work in improving the delivery of immunisations to children.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice