- GP practice
Archived: Poole Road Medical Centre
All Inspections
19 March 2019
During an inspection looking at part of the service
This practice is rated as Good overall. (Previous rating June 2018– Good)
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 focused inspection at Poole Road Medical Centre on 19 March 2019. This was to follow up on breaches of regulations. At our previous inspection in June 2018 we found that the practice had failed to ensure care and treatment was provided in a safe way to patients. This included systems to monitor the storage of medicines and equipment and the implementation of actions identified, through significant event analysis, to reduce risk.
The practice was told that they must also ensure that arrangements for the use of Patient Group Directions (PGDs) by individual health professionals working under these directives, to include signatures to confirm how they are competent and authorised to carry out the specific types of injections.
The practice was rated as requires improvement in safe and issued with a requirement notice to improve in these areas and this inspection was to check that the practice had completed those improvements.
The previous inspection report can be found on our website www.cqc.org.uk.
At this inspection, we only inspected the safe key question and found:
That the practice had completed the improvements required and had also responded to other areas where we requested that they should review.
The practice continued to complete annual appraisals for staff.
The practice had undertaken DBS checks on all new staff.
The practice had worked to improve and promote the uptake of childhood immunisations
The practice had reviewed and was improving patient satisfaction regarding access to appointments.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care
Please refer to the detailed report and the evidence tables for further information.
During a routine inspection
This practice is rated as Good overall. (Previous rating June 2016 – Good)
The key questions at this inspection 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
We carried out an announced comprehensive inspection at Poole Road Medical Centre on 13 June 2018 as part of our inspection programme.
At this inspection we found:
- The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
- The practice had identified that English was not the first language of 742 patients which represented 8% of the patient list. The practice had therefore developed patient information in different languages including Spanish and Arabic.
- The practice had developed a frailty team which visited frail patients at home, attended frailty locality meetings and holistically supported patients to avoid unplanned hospital admissions.
- The practice had engaged with the local school to produce information leaflets for parents regarding services available at the practice and externally, and regarding home treatment advice.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
The areas where the provider must make improvements are:
- Ensure care and treatment is provided in a safe way to patients. This includes systems to monitor the storage of medicines and equipment and the implementation of actions identified, through significant event analysis, to reduce risk. The practice must also ensure that arrangements for the use of Patient Group Directions (PGDs) by individual health professionals working under these directives, to include signatures to confirm how they are competent and authorised to carry out the specific types of injections.
The areas where the provider should make improvements are:
- Review systems for the completion of effective appraisals for staff.
- Review systems to promote the uptake of childhood immunisations.
- Obtain specified information regarding each person employed including a Disclosure and Barring Service (DBS) check, if appropriate, before commencement of employment.
- Review systems to improve patient satisfaction regarding access to appointments.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.
9 June 2016
During an inspection looking at part of the service
Letter from the Chief Inspector of General Practice
We carried out a focused inspection of Poole Road Medical Centre on 9 June 2016 to assess whether the practice had made the improvements in providing care and services that were safe. The practice was able to demonstrate that they were meeting the standards for safe care and is now rated as good for providing safe care. The overall rating for the practice is remains good.
We had previously carried out an announced comprehensive inspection at Poole Road Medical Centre on 6 May 2015 when we rated the practice as good overall. The practice was rated as good for being effective, caring, responsive and well-led and requires improvement for providing safe care. This was because blank prescriptions were not safely tracked by the practice. There were also gaps in the employment checks necessary for staff and background checks for staff performing chaperone duties. We also found that Patient Groups Directions (PGDs), used for nurses administering vaccines, were not appropriately signed. Following our last inspection we asked the provider to send a report of the changes they would make to comply with the regulations they were not meeting at that time.
This report should be read in conjunction with the full inspection report.
Our key findings across the areas we inspected on 9 June 2016 were as follows:
- Systems and processes to monitor the use of blank prescriptions were effectively operated.
- Recruitment checks on staff had been appropriately conducted, including those staff performing chaperone duties.
- Systems and processes to ensure the safe use and administration of vaccines were effectively operated.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
06/05/2015
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Poole Road Medical Centre on 6 May 2015.
Overall the practice is rated as good.
Specifically, we found the practice to be good for providing caring, responsive, well-led and effective services for older people, people with long term conditions, families, children and young people, working age people, people whose circumstances may make them vulnerable and people experiencing poor mental health. It required improvement for providing safe 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 and addressed;
- Risks to patients were assessed and well managed, with the exception of those relating to recruitment checks and management of medicines;
- Patients’ needs were assessed and care was planned and delivered following best practice guidance;
- Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment;
- The practice provided patient’s a printed copy of their summary care record to take with them to A&E;
- Information about services and how to complain was available and easy to understand;
- Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day;
- 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;
- 80% of respondents to a national patient survey said their overall experience of the practice was good;
- Poole Road Medical Centre is also a training practice for doctors training to be GPs and medical students; and
- The practice also used the Quality and Outcomes Framework (QOF) to measure their performance. The QOF data for this practice showed it in 2013/14 they had met 98.4% of the outcomes. This was higher than the national average for GP practices.
However, there were also areas of practice where the provider needs to make improvements.
Importantly, the provider must:
- Carry out disclosure and barring service checks or risk assessments for staff who performed chaperone duties;
- Prescription forms must be logged and tracked through the practice;
- Ensure patient group directions are authorised by a clinician; and
- Ensure staff recruitment checks follow current legislation.
In addition the provider should:
- Ensure records of staff appraisals are kept;
- Operate a programme of clinical audits; and
- Ensure toys kept at the practice are included in cleaning schedules.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
28 May 2014
During a routine inspection
Poole Road Medical Centre provides a general practice (GP) surgery accommodated in an older converted building in Bournemouth. The practice currently has about 8250 patients on its list.
Poole Road Medical Centre is registered with the Care Quality Commission (CQC) to provide the regulated activities of diagnostic and screening procedures, maternity and midwifery services, family planning, surgical procedures and treatment of disease, disorder and / or injury.
The practice is open between 8:00am and 6:30pm for telephone calls and between 8:15am and 6:30pm for physical access on Monday to Friday. The practice offers early morning appointments each week on a Tuesday and Saturday appointments once a month.
The majority of patients we spoke with during our inspection told us that they were happy with the treatment that they received.
We saw the practice was provided in a clean and hygienic environment, and there were effective systems in place to ensure that patients received safe care.
We found the practice was effective in meeting the wide ranging needs of its patients and the varying levels of demand that were placed on it. The practice was well-led and responsive to the needs of the diverse patient group attending the practice.
There were some examples of good practice, where the service had 'gone the extra mile' to meet the needs of its patients which could be shared with other services. These included the walk-in service that had been developed to respond to patients' need and the use of a 'care of' address for homeless patients.
Unfortunately, the practice was not following some of its own policies and this led to an issue with the safe recruitment of some staff.
Patients received a caring service and the majority of patients we spoke with told us they were satisfied with the healthcare they received. We saw patients being treated with sensitivity by reception staff, and most patients we spoke with confirmed the reception staff were polite and respectful. Some patients commented on the lack of privacy afforded in the reception area and said they had sometimes not been treated respectfully by reception staff.