21/02/2019
During a routine inspection
This practice is rated as Good overall.
The key questions at this inspection are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? – Good
We carried out an announced comprehensive inspection at ICO Health Group on 21 February 2019 under Section 60 of the Health and Social Care Act 2008, as part of our regulatory functions. The inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
At this inspection we found:
- There was an effective system for reporting and recording significant events.
- The practice’s systems, processes and practices helped to keep people safe.
- Risks to patients, staff and visitors were assessed, monitored and managed in an effective manner.
- Staff had the information they needed to deliver safe care and treatment to patients.
- The arrangements for managing medicines in the practice helped keep patients safe.
- The practice learned and made improvements when things went wrong.
- Staff had the skills, knowledge and experience to carry out their roles.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Patients could access care and treatment from the practice within an acceptable timescale for their needs.
- There were clear responsibilities, roles and systems of accountability to support good governance and management locally and at provider management team level.
- The practice had a vision to deliver high quality care and promote good outcomes for patients.
- The practice was proactive at involving patients, the public, staff and external partners to support high-quality sustainable services.
Whilst we found no breaches of regulations, the provider should:
- Ensure that the fire alarm is tested by practice staff more frequently than the annual test currently being carried out by the servicing company.
- Consider keeping all emergency medicines in one location.
- Instigate a system that builds on the prescription security process already in place but which records the movement of prescriptions within the building.
- Continue to monitor, improve and maintain the childhood immunisation uptake rates.
- Review, monitor and improve cervical screening and bowel cancer screening uptake rates.
- Consider ways to increase the uptake of care reviews with patients experiencing poor mental health and those with dementia.
Please refer to the detailed report and the evidence tables for further information.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care