The Care Quality Commission
  • Doctor
  • GP practice

Medic House

Overall: Good read more about inspection ratings

5a Ottawa Road, Tilbury, RM18 7RJ

Provided and run by:
College Health Limited

All Inspections

8 December 2023

During an inspection looking at part of the service

We carried out a targeted assessment of Medic House on 8 December 2023 without a site visit. Overall, the practice is rated as good. We rated the key question of responsive as requires improvement.

Safe -good

Effective – good

Caring - good

Responsive – requires improvement

Well led – good

Following our previous inspection in July 2022, the practice was rated good overall and for all key questions. At this inspection, we rated the practice requires improvement for providing responsive services.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Medic House on our website at www.cqc.org.uk

Why we carried out this inspection

We carried out this inspection as part of our GP responsive assessment

  • Responsive question inspected

How we carried out the inspection/review

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.

This included:

  • Conducting staff interviews using video conferencing.
  • Requesting evidence from the provider.

Our findings

  • The practice was implementing changes based on a decline in patient satisfaction reported within the GP national patient survey data since 2019.
  • The practice increased clinics for patient monitoring and health education.
  • Accessing the practice was made easier for patients, including video for a patients explaining the roles of each clinician at the practice and why a GP may not always be appropriate for the appointment.
  • Patients were given options to self-book appointments to make access to the practice more streamlined.
  • Clearer and more concise information was available for patients.
  • Modes of appointments were tailored to meet the younger and working-age patient groups.
  • Longer appointment times were made available for more complex patients to avoid multiple appointments.

Whilst we found no breaches of regulations, the provider should:

  • Continue to monitor and audit patient feedback and adjust access to the practice to improve patient satisfaction and increase national GP patient survey data.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Health Care

15 June 2022

During a routine inspection

We carried out an announced inspection at Medic House on 15 June 2022. Overall, the practice is rated as Good.

Set out the ratings for each key question

Safe - Good.

Effective - Good.

Caring - Good.

Responsive - Good.

Well-led - Good.

This location was previously registered under a different provider. We inspected the practice under the previous provider registration on 10 September 2019:

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Medic House on our website at www.cqc.org.uk

Why we carried out this inspection

This inspection was a comprehensive to:

  • Inspect and rate all key questions

How we carried out the inspection

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included:

  • Conducting staff interviews using video conferencing
  • Completing clinical searches on the practice’s patient records system and discussing findings with the provider
  • Reviewing patient records to identify issues and clarify actions taken by the provider
  • Requesting evidence from the provider
  • A short site visit
  • Requesting staff complete questionnaires
  • Requesting the practice signpost patient to our website to complete ‘Give Feedback on Care’ forms for this service.

Our findings

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.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients received effective care and treatment that met their needs.
  • Feedback from patients was positive about how staff treated them and involved them in decisions about their care.
  • Patients could access care and treatment in a timely way.
  • The practice understood their patient demographic and how this affected the specific needs of their patient population.
  • The way the practice was led and managed supported the delivery of high-quality, person-centre care.

Whilst we found no breaches of regulations, the provider should:

  • Continue to support staff with identified areas for development.
  • Continue to strengthen processes around medicines management.
  • Continue to improve uptake for cervical screening and the combined Measles, Mumps and Rubella immunisation at age 5.

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