Background to this inspection
Updated
14 September 2018
Pound Hill Medical Group offers general medical services to people living in the Pound Hill and Copthorne regions of Crawley. The practice is involved in the education and training of doctors, practice staff and other healthcare professionals. There are approximately 15,390 registered patients.
The practice population has a higher number of patients between 60 and 85 years of age than the national and local CCG average. There are a lower number of patients with long term health conditions and a significantly lower than average number of patients with health-related problems in daily life. Data available to the Care Quality Commission (CQC) shows the number of registered patients suffering income deprivation is significantly lower than the national average.
The practice is run by seven partner GPs. The practice was also supported by two salaried GPS, nurses, healthcare assistants a team of receptionists, administrative staff, finance and operations staff. Practice management was provided by a practice manager and deputy practice manager.
The CQC registered manager at the time of the inspection was Dr Paul Spensley. The Registered Activities are:
Diagnostic and screening procedures
Family planning
Maternity and midwifery services
Surgical procedures
Treatment of disease, disorder and injury
All services are provided from the location of:
Pound Hill Surgery
1 Crawley Lane
Pound Hill
Crawley
West Sussex
RH10 7DX
Out of hours services are provided by IC24. Further information about contact arrangements for the out of hours service and anything else relating to the practice can be found on their website, .
Updated
14 September 2018
This practice is rated as Good overall. (Previous rating February 2018 – Good)
The key questions at this inspection are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Outstanding
Are services well-led? - Good
We carried out an announced comprehensive inspection at Pound Hill Medical Group on 28 November 2017. The overall rating for the practice was good. The practice was also rated good for the effective, caring and well-led domains and all the population groups. It was rated outstanding in providing responsive services. However, it rated was as requires improvement for providing safe services. The full comprehensive report on the November 2017 inspection can be found by selecting the ‘all reports’ link for Pound Hill Medical Group on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 21 June 2018 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 28 November 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is now rated as good.
At our inspection of 28 November 2017, we found that:
- The provider had not ensured appropriate steps had been taken to monitor and record fridge temperatures.
- The practice had not ensured they had emergency medicines to cover all treatments carried out in the practice or demonstrated that these are not required through a risk assessment.
- The provider had not ensured the interventions provided for patients prescribed high risk medicines were always monitored in line with national guidance.
At this inspection our key findings were as follows:
- The provider had a system for monitoring high risk medicines in line with national guidelines.
- Emergency medicines were in place to cover all treatments.
- The fridge temperatures where monitored, recorded and audited.
Additionally we saw that:
The provider had reviewed the collation of responses to MHRA alerts and kept a central record that demonstrated actions and outcomes. These were discussed at practice meetings.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.