At our previous inspection on 06 December 2017 we rated the practice as requires improvement for providing safe services as:-

• The flooring in two private areas of the building were in poor repair and the nurses consulting room could be uncomfortably hot or cold due to the glass roof. At this inspection we found that repairs had been made as required and the nurse had access to another consulting room if the conservatory was an unsuitable temperature.
• A fire risk assessment was not in place. At this inspection we found that a fire risk assessment had been completed and the provider was taking action to complete the recommendations in the fire safety report.
• Evidence that recruitment and selection processes were robust could not be provided. At this inspection we saw evidence that the recruitment and selection processes were robust and complied with best practice guidance.

Consequently, the practice is rated as good for providing safe services.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

This practice is rated as Good overall.

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

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

We carried out an announced comprehensive inspection at Roby Medical Centre on 6 December 2017 as part of our inspection programme.

At this inspection we found:

• Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses.

• Staff understood their responsibilities in relation to safeguarding children and vulnerable adults.

• Recruitment records did not contain all the necessary information to demonstrate the suitability of staff.
• All the required safety checks of the premises had not taken place.
• Some areas of the premises needed improvement to ensure they were suitable for use.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance.

• The practice reviewed the effectiveness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.

• Staff involved and treated patients with compassion, kindness, dignity and respect.

• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.

• There was a system in place to manage complaints.

• Overall, there were systems in place to monitor and improve quality and identify risk.

The areas where the provider must make improvements as they are in breach of regulations are:

• Ensure recruitment procedures are established and operated effectively to ensure only fit and proper persons are employed.

• Ensure all premises and equipment used by the service provider are fit for use

The areas where the provider should make improvements are:

• Implement a recording system to check the medication in GP bags, to document who prescriptions are allocated to and to record that paediatric defibrillator pads and oxygen masks are available.

• Implement a system to enable safety checks of the premises to be undertaken at the required frequencies.
• Cleaning schedules should be put in place and checks of cleaning standards should be documented.
• Implement a system to monitor staffing levels to ensure they are appropriate to meet the needs of patients and allow staff sufficient time to undertake their roles.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice