Dr G R Murray and Partners, Stanley Street, Ulverston.
Dr G R Murray and Partners in Stanley Street, Ulverston 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 17th October 2018
Dr G R Murray and Partners is managed by Dr G R Murray and Partners.
Contact Details:
Address:
Dr G R Murray and Partners Ulverston Community Health Centre Stanley Street Ulverston LA12 7BT United Kingdom
At our previous inspection in May 2018 we told the provider they should make improvements in several areas. We saw at this inspection that improvements had been made;
Staff who acted as chaperone had received a Disclosure and Barring check.
The learning needs of staff had been addressed and a log of training carried out was supplied.
There was one area where the provider still needed to make improvements. At our previous inspection in May 2018 we told the practice they should review their process for carrying out staff appraisals. At this desk top review we saw the provider had devised a plan for future staff appraisals which included the dates they were to be carried out. However, this was a plan for future appraisals which had not yet been implemented.
This practice is rated as Good overall. (Previous inspection June 2016 – Good)
The key questions 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 G R Murray and Partners on 3 May 2018 as part of our inspection programme.
At this inspection we found:
The practice had systems to keep patients safe and safeguarded from abuse.
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 they provided. They ensured that care and treatment was delivered according to evidence- based guidelines.
Staff involved and treated patients with compassion, kindness, dignity and respect.
Results from the National GP Survey were above local and national scores for all questions.
The practice organised and delivered services to meet patients’ needs. They took account of patient needs and preferences.
Access to appointments was good. Patients were able to access care and treatment from the practice within an acceptable timescale for their needs.
There was a focus on continuous learning and improvement at all levels of the organisation. The practice proactively used performance information to drive improvement.
The areas where the provider must make improvements as they are in breach of regulations are:
Ensure care and treatment is provided in a safe way to patients
Ensure recruitment procedures are established and operated effectively to ensure only fit and proper persons are employed.
See Requirement Notice Section at the end of this report for further details.
The areas where the provider should make improvements are:
Review the process for chaperoning which is carried out by non-clinical staff.
Review the process for the learning needs of staff.
Review the process in place for staff appraisals.
Professor Steve Field CBE FRCP FFPH FRCGP Chief Inspector of General Practice
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection of Dr G R Murray and Partners on 12 May 2015, during which a breach of a legal requirement set out in the Health and Social Care Act (HCSA) 2008 was found. After the comprehensive inspection the practice wrote to us to say what they would do to address the identified breach.
On 8 June 2016 we undertook a focussed inspection where we asked the practice to send us information to evidence that they now met legal requirements. This report only covers our findings in relation to this requirement. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Dr G R Murray and Partners on our website at www.cqc.org.uk. Overall, the practice is rated as good.
Our key findings were as follows:
The practice had implemented arrangements to ensure that all clinical staff they employed were registered with the relevant professional body.
Processes and procedures had been introduced to enable the practice to effectively monitor the cleanliness of the premises and effectively address any issues that may arise either themselves or, if relevant, by referring them to NHS Property Services.
The practice had implemented a system to safely store prescription pads.
The contact details for the local safeguarding team and other agencies such as the police had been updated and were readily available to staff.
A system to record visitors to the practice which could be used in an emergency to account for people in the medical centre had been introduced.
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection of Dr R G Murray and Partners on 12 May 2015.
Overall, we rated the practice as good. We found the practice to be good for providing, effective, caring, responsive and well-led services and requires improvement for safe. Our key findings were as follows:
The services had been designed to meet the needs of the local population.
There was a clear leadership structure and staff felt supported by management.
Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Staff reported feeling able to voice any concerns or make suggestions for improvement.
The practice learned from incidents and took action to prevent any recurrence.
Patients’ needs were assessed and care was planned and delivered following best practice guidance. Feedback from patients was positive; they told us staff treated them with respect and kindness.
Staff had received training appropriate to their roles and any further training needs had been identified and planned.
Information about services and how to complain was available and easy to understand.
Patients said they found it easy to make an appointment with the GP and nurse and there was continuity of care.
The practice had good facilities and was well equipped to treat patients and meet their needs.
The practice was visibly clean and tidy.
However, there were also areas of practice where the provider needs to make improvements.
Importantly, the provider must:
Ensure that all clinical staff employed by the practice are registered with the relevant professional body.
In addition the provider should:
Introduce processes and procedures which would enable the practice to effectively monitor the cleanliness of the premises in order to minimise the risk associated with infection control and effectively address any issues that arise either themselves or if relevant refer them to NHS Property Services.
Introduce effective measures to ensure that GP consulting rooms are locked when unoccupied to maintain the secure storage of prescriptions.
Ensure that the contact details for the local safeguarding team and other agencies such as the police is readily available to staff.
Introduce a system to record visitors to the practice which can be used in an emergency to account for people in the medical centre that they are responsible for.
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