Westside Medical Centre, Corporation Street, Rugby.
Westside Medical Centre in Corporation Street, Rugby is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, family planning services, maternity and midwifery services, services for everyone, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 17th September 2018
Westside Medical Centre is managed by Westside Medical Centre.
Contact Details:
Address:
Westside Medical Centre Hilton House Corporation Street Rugby CV21 2DN United Kingdom
We carried out an announced comprehensive inspection at Westside Medical Centre on 5 September 2017. The overall rating for the practice was requires improvement. The practice was found to be requires improvement in safe and well-led and good in effective, caring and responsive. The full comprehensive report on the September 2017 inspection can be found by selecting the ‘all reports’ link for Dr Gallagher and Partners on our website at .
This inspection was an announced focused inspection carried out on 8 May 2018 to confirm that the practice had carried out their plan to make the improvements that we identified in our previous inspection on 5 September 2017. 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.
Our key findings were as follows:
Significant events were discussed with staff at weekly practice meetings to ensure that all learning was shared.
Changes had been made to the nursing team to provide a clear management structure to strengthen the oversight of the team.
Improvements had been made to the system for cascading and reviewing patient safety alerts to staff.
The system for tracking prescriptions in the practice was kept under review and regularly audited to ensure that processes were followed by all staff.
The policy and process for uncollected prescriptions had been revised to include referring to a GP before destruction of uncollected prescriptions. Regular monitoring ensured the process was being followed.
The system for conducting infection and prevention control had been developed and improved. Audits were completed monthly and ensured that all areas of the practice were inspected with action taken where necessary.
The system for monitoring patients on high risk medicines had been reviewed. Monthly checks had been introduced to ensure that all patients were monitored and that action was taken within appropriate timescales.
The procedure for obtaining Disclosure and Barring Service (DBS) checks had been revised and clarified where DBS checks were required. DBS checks were to be completed for all clinical staff at time of employment, with risk assessments completed for all non-clinical staff to determine the need for a DBS check.
The system for identifying carers had been developed so that more carers could be offered appropriate support. For example, all patients had been contacted to ask about their caring responsibilities with a positive number of responses; drop-in carers sessions were held at the practice; and a member of staff had been appointed as a carers champion. The number of carers registered had risen to 3% of the practice population as a result of the changes made.
The National GP Patient Survey results had been reviewed with action taken to improve patients' satisfaction in relation to access to the practice by telephone and the GP and patient interaction. For example, changes had been made to the triage system to improve patient access. Patients no longer had to call back in the afternoon if they had missed a morning triage and were automatically transferred to the afternoon triage.
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Westside Medical Centre on 26 May 2016. The overall rating for the practice was requires improvement. The practice was found to be requires improvement in safe and well-led and good in effective, caring and responsive. The full comprehensive report on the May 2016 inspection can be found by selecting the ‘all reports’ link for Dr Gallagher and Partners on our website at www.cqc.org.uk.
This inspection was an announced comprehensive inspection on 5 September 2017. Overall the practice is rated as requires improvement.
Our key findings were as follows:
Progress had been made in some key areas identified at the previous inspection, but there was still work to be done. For example, the oversight of the nursing team needed to be strengthened.
Most risks to patients were assessed and managed, but not all were mitigated thoroughly. For example, the infection control audit had not been completed.
The system for medicines alerts had been improved, but it was not embedded.
There was a comprehensive policy for recording significant events, but it was not always followed.
Patients’ needs were assessed and care was delivered in line with current evidence based guidance. Staff had received training appropriate to their roles in order to provide them with the skills, knowledge and experience to deliver care and treatment.
Patients told us that they were treated with kindness, dignity and respect and that they felt involved in their care and decisions about their treatment.
Non-clinical staff no longer acted as chaperones, with the exception of the practice manager and assistant reception manager, who had had Disclosure and Barring Service (DBS) checks.
The percentage of carers identified had decreased from 2% to 1% since the previous inspection.
Policies and procedures were regularly updated.
Information about services and how to complain was available and easy to understand.
The practice was located in purpose-built premises and had good facilities.
However, there were also areas of practice where the provider needs to make improvements.
The provider should:
Review the system for tracking prescriptions in the practice to ensure that it is embedded.
Review the policy and process for uncollected prescriptions to include referring to a GP before destruction.
Review the system for cascading patient safety alerts to staff.
Review the system for monitoring patients on high risk medicines.
Review the system for sharing the learning from significant events with all staff.
Review the effectiveness of the system for identifying carers so that they can be offered appropriate support.
Review the procedure for determining and documenting whether DBS checks are transferable for individual members of staff and whether DBS checks are required for non-clinical members of staff.
Review the National GP Patient Survey results to improve patients' satisfaction especially with regard to getting through to the practice by telephone and the GP/patient interaction.
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr Gallagher and partners on 26 May 2016. Overall the practice is rated as requires improvement.
Our key findings across all the areas we inspected were as follows:
There was an open and transparent approach to safety and a system in place for reporting and recording significant events. Although leading staff were able to tell us about discussions there had been around significant events, there was insufficient documented evidence to demonstrate that learning and sharing of information had taken place across all relevant members of the team to prevent recurrence.
Some risks to patients were assessed and managed. Others were not identified and effective action had not been taken to mitigate these, for example those relating to emergency medicines, chaperones, having a system to take action in respect of medicines alerts and infection control.
Patients’ needs were assessed and care was delivered in line with current evidence based guidance. Staff had received training appropriate to their roles in order to provide them with the skills, knowledge and experience to deliver care and treatment with the exception of chaperone training for non-clinical staff. Although staff had received training, they did not fully understand the responsibilities of their role as chaperones.
Patients told us that they were treated with kindness, dignity and respect and that they felt involved in their care and decisions about their treatment.
Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
The practice was located in purpose-built premises and had good facilities. It was well equipped to treat patients and meet their needs.
The practice had policies and procedures to govern activity, but some were overdue a review. For example, the business continuity plan needed to be updated.
There was a leadership structure and staff felt supported by management. The practice encouraged feedback from staff and patients, which it acted on.
The provider was aware of and complied with the requirements of the Duty of Candour.
The areas where the provider must make improvements are:
Establish effective systems to enable the provider to assess and monitor the quality of care being provided and to identify, assess and mitigate risks. For example, in relation to ensuring that chaperones are effectively trained and either have received a Disclosure and Barring Service check or that the risk of not having this is assessed.
Ensure patients are protected against the risks of receiving unsafe care and treatment by identifying risk and doing all that is possible to mitigate this. For example, by ensuring that audit actions are completed, and medicines and medical consumables are within their expiry dates.
In addition the provider should:
Take action to establish a system for documenting the discussion of significant events in meetings, so that there is an audit trail which demonstrates learning and sharing of information with all relevant staff.
Take action to ensure that non-clinical staff undertaking chaperone duties have a thorough understanding of the responsibilities associated with this role.
Take action to review and update policies and procedures on a regular basis. For example, the business continuity plan was overdue for review.
Consider the availability of appropriate masks for use with the oxygen cylinder.
©2019 Care Services, all rights reserved. No part of this website may be reproduced without permission of the copyright holders.
