Mosborough Health Centre

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Mosborough Health Centre on 28 September 2016. Overall the practice is rated as good.

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

• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
• Risks to patients were assessed and well managed with the exception of the process for administering medicines under patient specific directions for healthcare assistant staff.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
• Feedback from patients about their care was consistently positive . They said they were treated with compassion, dignity and respect and they were 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 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.
• The provider was aware of and complied with the requirements of the duty of candour.

We saw one area of outstanding practice:

• The practice had been innovative when reviewing its workforce and had developed the practice skill mix by employing their own pharmacist who supported patients and staff at the practice through review of medicines prescribed, promoting best practice and providing advice for prescribing. They had also recruited a physician associate who was able to deal with minor illness, long term conditions and mental illness freeing up GP time for more complex patient needs.

The areas where the provider should make improvement are:

• Review the process for administering medicines under patient specific directions to ensure they are correctly authorised by an appropriate prescriber.

• Ensure staff who perform chaperone duties follow the practice’s own chaperone policy with regards to recording the event.

• Review the system for checking consumables are within their expiry date throughout the practice.

• Review Public Health England guidance with regard to the use of two thermometers for monitoring of medical fridge temperatures.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice