We carried out an announced comprehensive inspection at Medici Medical Practice on 27 November 2014. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing well-led, effective, caring and responsive services.

Our key findings across all the areas we inspected were as follows:

• Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.

• Risks to patients were assessed and well managed.

• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.

• The practice had good facilities and was well equipped to treat patients and meet their needs.

• There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.

However there were areas of practice where the provider needs to make improvements.

Importantly the provider should:

• Display signage in different languages in the reception area which informs patients of the translation service available.
• Develop a more systematic approach to conditions such as diabetes, mental health including physical health, depression and hypertension to achieve and demonstrate improved health outcomes in these areas.
• Ensure that systems to identify children and vulnerable adults are known and used by all staff.
• Ensure that all staff receive training on the Mental Capacity Act 2005.
• Ensure that all staff complete the safeguarding training as arranged.
• Ensure that medicines which are not for use in emergency are stored in a locked cupboard
• Ensure that infection control cleaning schedules and audit are updated and completed as planned.
• Ensure that fire training is completed for all staff as arranged.
• Ensure that audit cycles are complete having been reviewed and revisited to determine if actions have been effective.
• Ensure that all staff receive infection control update training
• Ensure that infection control cleaning schedules and audit is updated and completed as planned.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

During our visit we met with the practice manager and one of the GP partners. We spoke with five people and four members of staff. People told us they understood the care and treatment choices available to them. We observed reception staff offering a choice of dates and times for appointments. We saw that when people required hospital care and treatment they were referred promptly.

People we spoke with were happy with the care and treatment they received. One person said, “I am very happy here. I always get an appointment and don’t have to wait long." Another said, “I get treated with respect when I am seen.”

We found that staff were recruited using safe recruitment processes. Staff told us they felt supported to carry out their role and we saw that staff received training that was relevant to their role.

People were asked for their views and they were acted upon. We saw that some patient satisfaction surveys had identified getting through on the telephone as an issue. We were told that this was being looked in to so that people could benefit from the quicker answering of calls.