Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Preston Grove Medical Centre on 3 November 2016. The overall rating for the practice was good. The practice was rated as good for providing effective, caring, responsive and well-led services and requires improvement for providing safe services. The full comprehensive report on the November 2016 inspection can be found by selecting the ‘all reports’ link for Preston Grove Medical Centre on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 17July 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 3 November 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. The practice is rated as good for providing safe services.

At our previous inspection on 3 November 2016, we rated the practice as requires improvement for providing safe services. This was because the arrangements in respect of infection prevention and control, management of medicines and the management of staff training were not adequate.

At this inspection on 17 July 2017 our key findings were as follows:

• The practice had an induction programme for newly appointed staff which now included mandatory training in respect of infection prevention and control, safeguarding adults and the Mental Capacity Act (2015).

• The staff training matrix evidenced that all staff had undertaken appropriate training to their role including; safeguarding adults training, infection prevention and control training and Mental Capacity Act training. We saw training records showed that staff who supported patients with long term conditions had received relevant refresher training including updates in asthma and diabetes.

• There were arrangements in place to assess and monitor the risk, prevention, detection and control of the spread of infections.

• Medicines, including the required arrangements for temperature control of vaccine storage, were managed appropriately.

• The practice had made improvements in arrangements to support patients with diabetes.

• Medicines including the required arrangements for temperature control of vaccine storage, were managed appropriately.

• The practice had made improvements in arrangements to identify and support patients who were also carers.

• Telephone access arrangements to the practice had improved for patients.

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 at Preston Grove Medical Centre on 3 November 2016. The overall rating for the practice was good. The practice was rated as good for providing effective, caring, responsive and well-led services and requires improvement for providing safe services. The full comprehensive report on the November 2016 inspection can be found by selecting the ‘all reports’ link for Preston Grove Medical Centre on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 17July 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 3 November 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. The practice is rated as good for providing safe services.

At our previous inspection on 3 November 2016, we rated the practice as requires improvement for providing safe services. This was because the arrangements in respect of infection prevention and control, management of medicines and the management of staff training were not adequate.

At this inspection on 17 July 2017 our key findings were as follows:

• The practice had an induction programme for newly appointed staff which now included mandatory training in respect of infection prevention and control, safeguarding adults and the Mental Capacity Act (2015).

• The staff training matrix evidenced that all staff had undertaken appropriate training to their role including; safeguarding adults training, infection prevention and control training and Mental Capacity Act training. We saw training records showed that staff who supported patients with long term conditions had received relevant refresher training including updates in asthma and diabetes.

• There were arrangements in place to assess and monitor the risk, prevention, detection and control of the spread of infections.

• Medicines, including the required arrangements for temperature control of vaccine storage, were managed appropriately.

• The practice had made improvements in arrangements to support patients with diabetes.

• Medicines including the required arrangements for temperature control of vaccine storage, were managed appropriately.

• The practice had made improvements in arrangements to identify and support patients who were also carers.

• Telephone access arrangements to the practice had improved for patients.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Patients’ privacy and dignity were maintained. We spoke with five patients who told us they felt their privacy was respected at the medical centre. Patients told us that communication with both clinical and non-clinical staff at the medical centre was good. One patient said, “They are so friendly, helpful and understanding here.” Another person told us, “They are all so nice and helpful, it’s excellent here.”

Patients told us that appointments were easily made and sufficient time was allocated to discuss their health concerns with their GP or other healthcare professionals at the medical centre. One patient we spoke with told us, “If you need an urgent appointment you will get one.” Another patient when asked about appointments said, “I’ve always got one (an appointment) when I’ve needed one.”

The medical centre had effective arrangements to ensure cleanliness and we found that the medical centre was clean. One patient told us, “It’s (the cleanliness) very good. It’s excellent here.” Another patient said, “I’ve no issues about the cleanliness here.”

The provider did not operate effective recruitment procedures to ensure staff suitability for employment.

The provider regularly monitored the quality and safety of the service and made improvements when necessary.