Letter from the Chief Inspector of General Practice

We previously carried out an announced comprehensive inspection at Lucie Wedgwood Health Centre on 27 September 2016. The overall rating for the practice was Good with requires improvement in providing safe services. The full comprehensive report from the 27 September 2016 inspection can be found by selecting the ‘all reports’ link for Lucie Wedgwood Health centre on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 24 May 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 27 September 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is rated as Good.

Our key findings were as follows:

• There was an effective system to ensure that patients who took medicines had a review by an appropriate clinician and consideration was given to the monitoring for side effects.

• There was a system for obtaining satisfactory information about any physical or mental health condition that staff members may have which are relevant to the role they undertook.

• The practice had recorded the action taken in response to all medicines and equipment alerts issued by external agencies.

• The practice had reviewed the oxygen therapy equipment in use to ensure it could be easily deployed within the practice as required.

• The practice had reviewed the method of storing and moving emergency medicines within the practice. The provider had obtained appropriate emergency medicine to treat possible complications associated with the insertion of specific intrauterine contraceptive devices.

We also saw the following best practice recommendations we previously made in relation to providing effective and responsive services had been actioned:

• Discussions and actions taken about changes in clinical practice, for example national guidance, were now recorded during clinical meetings held.

• Patients were advised of the escalation process should they not be happy with the outcome of their written complaint.

However, there was still one area of practice where the provider could make improvements.

The provider should:

• Ensure the complaints procedure is readily accessible to patients.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

On the day of our inspection we spoke with eight patients and four members of staff. Prior to the inspection we spoke with a spokesperson from the patient participation group (PPG) who was also a patient. One patient told us, “I would recommend the practice to anyone". Another patient told us, “The practice is brilliant. The service is very good and efficient and the doctors give really good advice".

We saw that patients' views and experiences were taken into account in the way the service was provided and that they were treated with dignity and respect. Patients experienced care and treatment that met their needs because there were enough qualified, skilled and experienced staff.

We saw that patients were protected against the risks associated with medicines because the practice had appropriate arrangements in place to manage medicines. The provider had effective systems in place to regularly assess and monitor the quality of service their patients received.

Letter from the Chief Inspector of General Practice

We previously carried out an announced comprehensive inspection at Lucie Wedgwood Health Centre on 27 September 2016. The overall rating for the practice was Good with requires improvement in providing safe services. The full comprehensive report from the 27 September 2016 inspection can be found by selecting the ‘all reports’ link for Lucie Wedgwood Health centre on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 24 May 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 27 September 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is rated as Good.

Our key findings were as follows:

• There was an effective system to ensure that patients who took medicines had a review by an appropriate clinician and consideration was given to the monitoring for side effects.

• There was a system for obtaining satisfactory information about any physical or mental health condition that staff members may have which are relevant to the role they undertook.

• The practice had recorded the action taken in response to all medicines and equipment alerts issued by external agencies.

• The practice had reviewed the oxygen therapy equipment in use to ensure it could be easily deployed within the practice as required.

• The practice had reviewed the method of storing and moving emergency medicines within the practice. The provider had obtained appropriate emergency medicine to treat possible complications associated with the insertion of specific intrauterine contraceptive devices.

We also saw the following best practice recommendations we previously made in relation to providing effective and responsive services had been actioned:

• Discussions and actions taken about changes in clinical practice, for example national guidance, were now recorded during clinical meetings held.

• Patients were advised of the escalation process should they not be happy with the outcome of their written complaint.

However, there was still one area of practice where the provider could make improvements.

The provider should:

• Ensure the complaints procedure is readily accessible to patients.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice