- GP practice
The Redwell Medical Centre
All Inspections
10 July 2018
During a routine inspection
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.
30 September 2015
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Redwell Medical Centre on 30 September 2015. Overall the practice is rated as good but the safe domain requires improvement.
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.
- Risks to patients were assessed and well managed, with the exception of those relating to recruitment checks for staff, infection control and medicines management.
- 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.
- 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. The practice sought feedback from staff and patients, which it acted on.
However there were areas of practice where the provider needs to make improvements.
The provider must:
-
Ensure robust recruitment procedures are implemented and followed prior to employment of staff.
-
Introduce systems to ensure effective management of infection control in line with national recommendations.
-
Establish a system to ensure the safe management of prescriptions.
Additionally the provider should:
-
Ensure information regarding the complaints procedure is freely available.
-
Ensure policies and procedures are regularly updated.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice