Letter from the Chief Inspector of General Practice

This is a focused desk top review of evidence supplied by Pinner View Medical Centre, for areas within the key question effective. This review was completed on 15 December 2016.

Upon review of the documentation provided by the practice, we found the practice to be good in providing effective services. Overall, the practice is rated as good.

The practice was previously inspected on 20 May 2016. The inspection was a comprehensive inspection under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (HSCA). At that inspection, the practice was rated overall as ‘good’. However, within the key question effective an area was identified as ‘requires improvement’, as the practice was not meeting the legislation around patient consent and the Mental Capacity Act 2005. The practice was issued a requirement notice under Regulation 11, Need for Consent.

Although staff had received training in relation to consent, not all clinical staff understood the relevant consent and decision-making requirements of legislation and guidance, including the Mental Capacity Act 2005.

We also identified other areas where the practice should make improvements which included:

• Improving the use of two cycle clinical audit to drive improvements in patient outcomes.
• Conducting a risk assessment for the safe storage of the liquid nitrogen cylinder.
• Advertising translation services in the patient waiting areas.
• Taking measures to improve patient satisfaction with nurse consultations.

The practice supplied an action plan and a range of documents which demonstrated they are now meeting the requirements of Regulation 11 Need for Consent of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The additional improvements are reflected in the well-led detail of the report.

The area where the practice should continue to make improvements is:

• Developing the use of comprehensive clinical audit as part of ongoing quality improvement work within the practice.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

This is a focused desk top review of evidence supplied by Pinner View Medical Centre, for areas within the key question effective. This review was completed on 15 December 2016.

Upon review of the documentation provided by the practice, we found the practice to be good in providing effective services. Overall, the practice is rated as good.

The practice was previously inspected on 20 May 2016. The inspection was a comprehensive inspection under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (HSCA). At that inspection, the practice was rated overall as ‘good’. However, within the key question effective an area was identified as ‘requires improvement’, as the practice was not meeting the legislation around patient consent and the Mental Capacity Act 2005. The practice was issued a requirement notice under Regulation 11, Need for Consent.

Although staff had received training in relation to consent, not all clinical staff understood the relevant consent and decision-making requirements of legislation and guidance, including the Mental Capacity Act 2005.

We also identified other areas where the practice should make improvements which included:

• Improving the use of two cycle clinical audit to drive improvements in patient outcomes.
• Conducting a risk assessment for the safe storage of the liquid nitrogen cylinder.
• Advertising translation services in the patient waiting areas.
• Taking measures to improve patient satisfaction with nurse consultations.

The practice supplied an action plan and a range of documents which demonstrated they are now meeting the requirements of Regulation 11 Need for Consent of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The additional improvements are reflected in the well-led detail of the report.

The area where the practice should continue to make improvements is:

• Developing the use of comprehensive clinical audit as part of ongoing quality improvement work within the practice.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

During our inspection, we spoke with six patients who used the service and four members of staff, including the practice manager.

Overall patients were positive about the service they received. One patient told us ‘the doctors are fantastic and very thorough’ and ‘my family and I have had no problems getting an appointment here’. Another patient said that they were ‘generally happy’ with the service.

Patietns we spoke with told us that they were very happy with the doctors and the nurse. One patient said ‘the doctors are competent’. Another said that the receptionists were ‘lovely’. Patients were keen to praise the practice and were enthusiastic about the service.

We found that patients were informed and involved in the service provided to them. There were practices in place to ensure patients experienced care and treatment that met their needs.

Staff we spoke with were aware of the signs of abuse and the action to take when responding to allegations or incidents of abuse. We observed that the provider had a safeguarding adults policy and a separate policy for safeguarding children.

Patients were cared for in a clean, hygienic environment.

We observed that there was insufficient evidence to confirm that appropriate checks had been carried out for recently employed members of staff.

We found that the provider had a system in place to monitor quality and safety.