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Bakersfield Medical Centre, Nottingham.

Bakersfield Medical Centre in Nottingham is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, family planning services, maternity and midwifery services, services for everyone, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 23rd April 2020

Bakersfield Medical Centre is managed by Bakersfield Medical Centre.

Contact Details:

Ratings:

For a guide to the ratings, click here.

Safe: Requires Improvement
Effective: Good
Caring: Good
Responsive: Good
Well-Led: Requires Improvement
Overall:

Further Details:

Important Dates:

    Last Inspection 2020-04-23
    Last Published 2019-02-25

Local Authority:

    Nottingham

Link to this page:

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Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

20th December 2018 - During a routine inspection pdf icon

We carried out an announced comprehensive inspection at Bakersfield Medical Centre on 20 December 2018 as part of our inspection programme. This inspection took place in response to concerns reported to the Care Quality Commission.

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 requires improvement overall and good for all population groups.

We rated the practice as requires improvement for providing safe services because:

  • The practice did not have appropriate systems in place for the safe management of medicines.
  • The practice needed to improve learning from significant events.

We rated the practice as requires improvement for providing well-led services because:

  • The practice’s governance arrangements required improvement to ensure that all significant issues were identified and addressed and the practice learned and made changes from investigations and audits where appropriate.

The overall rating for this practice was requires improvement due to concerns in providing safe and well-led services. However, the population groups were rated as good because patients could access timely and effective care and treatment.

We rated the practice as good for providing effective, caring and responsive services because:

  • Staff had the skills, knowledge and experience to carry out their roles. Performance data was generally in line with local and national averages. Consent was obtained in line with national guidance.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.

The area where the provider must make improvements are:

  • Ensure that care and treatment is provided in a safe way.

(Please see the specific details on action required at the end of this report).

The areas where the provider should make improvements are:

  • Ensure that all staff have received fire safety and infection control training.
  • Ensure a record is held of staff immunisation status for all diseases recommended by Public Health England.
  • Review all consulting rooms to ensure patient privacy and dignity is maintained at all times during examinations, investigations and treatments.
  • Improve governance procedures to ensure that risks, issues and performance concerns are identified and managed effectively.
  • Improve quality improvement methods such as completion of full-cycle clinical audits to monitor and improve patient outcomes.

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

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

21st August 2017 - During an inspection to make sure that the improvements required had been made pdf icon

Letter from the Chief Inspector of General Practice

We carried out two announced comprehensive inspections at Bakersfield Medical Centre on 1 March 2016 and 1 December 2016. The overall rating for the practice following the December 2016 inspection was good but it was rated as requires improvement for providing well led services. The full comprehensive reports for the March 2016 and December 2016 inspections can be found by selecting the ‘all reports’ link for Bakersfield Medical Centre on our website at www.cqc.org.uk.

We carried out this announced focused inspection on 21 August 2017 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 1 December 2016. This report covers our findings in relation to those requirements and additional improvements made since our last inspection.

Overall the practice is now rated as good.

Our key findings were as follows:

  • The practice had improved the governance arrangements for using patient feedback from the national GP patient survey data to drive improvement in services.
  • The national GP patient survey results showed the majority of patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
  • Arrangements for identifying, recording and managing risks and implementing mitigating actions had been improved. Specifically, the recording of searches and follow-up action taken in response to patient safety alerts and the review of patients on repeat prescription for medicines that are used to treat high blood pressure (ACE-inhibitors).
  • Practice supplied data for 2016/17 (yet to be verified and published) showed the practice had increased the uptake rate of the measles, mumps and rubella (MMR) vaccine in children aged five.

The areas where the provider should make improvement:

  • Continue to consider ways of increasing the patient participation group membership and regular engagement so as to improve and develop services within the practice.

  • Continue to review, monitor and act upon patient experience data to drive service improvement. This includes patient feedback relating to GP and practice nurse consultations (being involved in decisions about their care and being treated with care and concern).

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

1st December 2016 - During a routine inspection pdf icon

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Bakersfield Medical Centre on 1 March 2016 and an unannounced inspection on 3 March 2016 to follow-up on concerns identified on the first inspection day. The overall rating for the practice was requires improvement with a rating of inadequate for the safe domain. The full comprehensive report on the March 2016 inspection can be found by selecting the ‘all reports’ link for Bakersfield Medical Centre on our website at www.cqc.org.uk.

This inspection was an announced comprehensive inspection carried out on 1 December 2016 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 1 March 2016. 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.

Our key findings were as follows:

  • There were systems in place to monitor and maintain patient safety in the practice.

  • Staff understood their responsibilities to raise concerns and to report incidents and near misses. Incidents were regarded as opportunities for learning across the practice team and for improving patient care.

  • Clinicians assessed patients’ needs and delivered care in line with current evidence based guidance.

  • Suitable arrangements were in place to ensure staff received appropriate training, professional development, supervision and appraisal.

  • Positive feedback was received from most patients about their care and treatment. Patients told us they felt treated as individuals and were involved in the planning and delivery of their care. Some patients felt improvements could be made to ensure all staff were caring and respectful and this was reflected in the National GP Patient Survey results.

  • The practice worked closely with other organisations and with the local community in planning how services were provided to ensure that they met patients’ needs.

  • Feedback received from patients and comment cards was positive about the continuity of care offered, appointments running on time and the appointment system being easy to use which enabled them to access the right care at the right time. This was reflected within the National GP Patient Survey results on access to services and the practice’s responses in relation to this area were above the local and national averages.

  • The practice was located in purpose-built premises and was well equipped to treat patients and meet their needs.

  • The practice actively reviewed complaints and how they were managed and responded to, and made improvements as a result.

  • The practice had a clear vision which had quality and safety as its priority. The strategy to deliver this vision was regularly reviewed and discussed with staff.

  • Staff worked well together as a team and had addressed most areas highlighted in the March 2016 inspection.

However there were areas of practice where the provider must make improvements:

Systems and processes must be established and operated effectively to enable the provider to:

  • Ensure feedback from patients is used to drive improvements in the service by: using patient feedback relating to the quality of care offered by GPs proactively; reviewing the way the service is delivered and acting on areas of lower patient satisfaction. This includes the national GP patient survey results.

  • Ensure that potential risks are identified and mitigated by: improving the recording of searches and follow-up action taken in response to patient safety alerts and strengthening the processes in place for following up patients on repeat prescription for medicines that are used to treat high blood pressure (ACE-inhibitors) to ensure they receive timely reviews.

There was an area of practice where the provider should make improvements:

  • Consider ways to increase the uptake rate of the measles, mumps and rubella (MMR) vaccine in children aged five.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

1st January 1970 - During a routine inspection pdf icon

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Bakersfield Medical Centre on 1 March 2016 and an announced inspection on 3 March 2016. Overall the practice is rated as 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 significant events. However, the recording of investigations undertaken and dissemination of learning required strengthening.

  • Patients were at risk of harm because effective systems and processes were not always in place to keep them safe. We found some risks to patients and staff had been assessed but immediate and / or appropriate action to mitigate these risks had not always been carried out. This included risks related to fire safety, health and safety, and the environment.

  • Staff referred to evidence based guidance and used it to assess patients’ needs and improve patient outcomes. Staff had the skills, knowledge and experience to deliver effective care and treatment.

  • Clinical audits demonstrated improvement to patient outcomes and quality of care.

  • Staff worked well with multi-disciplinary teams and other health care professionals to ensure effective care planning and delivering of integrated care for patients.

  • Feedback from patients about their care and interactions with practice staff was strongly positive. Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.

  • However, data from the national GP patient survey showed patients rated the practice lower than others for most aspects of care relating to consultations with GPs.

  • The practice offered a high degree of flexibility for patients to access the practice and obtain GP appointments when needed. Our review of the appointment system, feedback from patients and care home staff, and the national GP survey results showed the practice provided excellent access to GP appointments.

  • As a result of good GP access and effective care planning, the practice had one of the lowest rates of secondary care usage compared to other practices within the CCG. This included low rates for emergency and outpatient referrals, first patient outpatient attendances and accident and emergency (A&E) attendances.

  • The practice managed complaints well and took them seriously. Information about how to complain was available and easy to understand.

  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.

  • The practice had a vision in place but not all staff were aware of this. The governance arrangements in place required improvement to ensure the delivery of good quality care and effective management of risks.

The areas where the provider must make improvement are:

  • Ensure the systems in place to identity, assess and manage all risks including fire safety, health and safety, the environment and premises are robust.

  • Ensure the actions that are planned to address risks related to infection prevention and control are completed.

  • Ensure all notifiable incidents are reported timely to the Care Quality Commission.

The areas where the provider should make improvement are:

  • Ensure contemporaneous records are kept of staff and the management of regulated activities. This includes meeting minutes, more detailed recruitment files and significant events.

  • Ensure all staff are supported to understand the practice vision and values.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

 

 

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