Background to this inspection
Updated
6 August 2018
The Redwell Medical Centre provides a range of primary medical services to the residents of Wellingborough. The practice has a registered manager in place. A registered manager is an individual registered with CQC to manage the regulated activities provided. The regulated activities registered to provide are:
- Diagnostic and screening procedures
- Maternity and midwifery services
- Surgical procedures
- Treatment of disease, disorder or injury
At the time of the inspection we noted the practice was not registered to provide Family planning services. We have received assurances that an application is now in progress for this registered activity.
The practice provides primary medical services under a general medical services (GMS) contract from its purpose-built location of The Redwell Medical Centre, 1 Turner Road, Wellingborough, NN8 4UT. Online services can be accessed from the practice website
The practice has approximately 12,100 patients. The practice population is of mixed ethnicity with an average age range. National data indicates the area is one of mid deprivation.
The practice is led by four GP partners, three male and one female and they employ two salaried GPs, one male and one female and a female clinical pharmacist. The nursing team consists of four general practice nurses and three health care assistants all female. There is a team of administrative and reception staff and a site supervisor all led by the practice manager and assistant practice manager.
The practice is a teaching practice and provides placements for medical and nursing students.
The Redwell Medical Centre is open from 8.30am to 6.30pm Monday to Friday with the telephone lines open from 8am. Extended opening hours are offered every Saturday from 8am to 11am.
When the practice is closed out-of-hours services are provided by Integrated Care 24 and can be accessed via the NHS 111 service.
Updated
6 August 2018
This practice is rated as Good overall. (Previous inspection September 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 Redwell Medical Centre on 10 July 2018. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, as part of our inspection programme.
At this inspection we found:
- 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.
- 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.
- There was a focussed and targeted approach to Quality and Outcomes Framework (QOF). Achievements were monitored throughout the year and discussed at clinical meetings.
- The practice exceeded the national targets for child immunisations.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- The practice had identified 440 patients as carers which equated to approximately 4% of the patient list.
- The practice had developed a Collaborative Care Team to monitor and manage the care of patients who were at end of life, frail or at risk of unplanned hospital admissions.
- There was a strong focus on continuous learning and improvement at all levels of the organisation. The practice was part of a local GP federation and participated in pilots to improve access to, and availability of, GP appointments.
- The practice was a training practice and provided placements for medical and nursing students.
- The practice had not reviewed the emergency medicines required to be held when they offered a new service. They did not hold a supply of one recommended emergency medicine and at the time of our inspection we found that risk was not formally assessed in the absence of this.
- The practice managed complaints in line with recommended guidance. However, the complaints policy and leaflets for patients did not contain the timeframes for responding to complaints.
The areas where the provider should make improvements are:
- Review the emergency medicines that the practice required for the care and treatment carried out and complete formal risk assessments for any medicines not held.
- Review and update the complaints documentation with the recommended timeframes for responding to complaints
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.
People experiencing poor mental health (including people with dementia)
Updated
6 August 2018