We carried out an announced comprehensive inspection at Dr Carmel Morris (Heald Green HC2) on 20 November 2018 as part of our inspection programme. We rated the practice as requires improvement for providing safe services and good overall.

The full comprehensive report on the November 2018 inspection can be found by selecting the ‘all reports’ link for Dr Carmel Morris on our website at www.cqc.org.uk.

At our inspection in November 2018 we rated the practice as requires improvement for providing safe services because:

• Not all equipment used at the practice had been tested to be safe, for example portable appliances.
• Risk assessments and data around the control of substances hazardous to health (COSHH) had not been reviewed since 2013.
• Monitoring of some high-risk medicines was not always well managed.
• Changes in patients’ medicines was not always well managed.

On 13 March 2019, we carried out a focused inspection of the safe key question. We visited the practice to confirm it had carried out the plan to meet the legal requirements in relation to the breaches in regulations identified in our previous inspection on 20 November 2018. This report covers our findings in relation to those requirements.

At this inspection, we found that the provider had satisfactorily addressed all legal requirements.

We have rated this practice as good for providing safe services.

We found that:

• The practice provided care in a way that kept patients safe and protected them from avoidable harm.
• The system for recording the monitoring of patients prescribed higher risk medicines had been strengthened.
• All equipment at the practice had tested appropriately.
• A comprehensive risk assessment in relation to the control of substances hazardous to health had been completed.

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

This practice is rated as Good overall. (previous rating June 2017 Good )

The key questions at this inspection are rated as:

Are services safe? – Requires improvement

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 Dr Carmel Morris (Heald Green HC2) on 20 November 2018. This inspection was carried out under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service and to provide a rating for the service under the Care Act 2014.

We rated this practice as good overall.

At this inspection we found:

• Patients were protected from abuse and legal requirements were met.
• Patients were not always protected from avoidable harm.
• Patients had good outcomes because they received effective care and treatment that met their needs.
• Patients were supported, treated with dignity and respect and were involved as partners in their care.
• People’s needs were met by the way in which services were organised and delivered.
• The leadership, governance and culture of the practice promoted the delivery of high quality person-centred care.

The areas where the provider must make improvements are:

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

The areas where the provider should make improvements are:

• Improve the recording of recruitment information.
• Improve processes to check uncollected prescriptions.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.