9 November 2023
During an inspection looking at part of the service
We inspected Manchester Road East Medical Practice on 18 July 2023. This was a full comprehensive inspection.
Following this inspection, the practice was given an overall rating of inadequate with the following key question ratings:
Safe – Inadequate
Effective – Requires improvement
Caring – Good
Responsive – Requires improvement
Well-led – Inadequate.
After the inspection on 18 July 2023, warning notices were issued for breaches of Regulations 12 (safe care and treatment), 17 (good governance) and 19 (requirements relating to workers).
This inspection, carried out on 9 November 2023, was to check the progress made with the warning notice.
This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.
This included:
- Conducting an interview with the lead GP using video conferencing.
- Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
- Reviewing patient records to identify issues and clarify actions taken by the provider.
- Requesting evidence from the provider.
- A short site visit.
We found that improvements had been made. In particular:
- Our clinical searches found that patients had the required monitoring for their conditions, and medicines were regularly reviewed.
- There was a system to manage and act on safety alerts.
- Urgent referrals, test results and safety alerts were monitored with a documented process in place.
- Emergency medicines were kept in a secure place. The practice had carried out risk assessments to determine which emergency medicines they held.
- Actions required following an infection prevention and control audit had been carried out.
- There was documented clinical supervision for the practice nurse.
- The fire doors were kept closed.
- The systems for managing complaints and significant events had been updated, and clear information was now recorded so these could be easily monitored.
- The practice manager had updated policies and procedures where appropriate and was continuing to make amendments where it was found they could be improved on.
- The locum pack had been updated so locum GPs had clear guidance to follow.
- The system for managing staff training had been updated and clear records were kept for each staff member.
- The practice had appointed a Freedom to Speak Up Guardian.
- The practice had not recruited any new staff members since the inspection in July 2023, but they had updated their recruitment process for when they did employ new staff. However, we found that there had been no up to date check that the practice nurse was correctly registered with the appropriate professional body.
The rating of inadequate given to the practice following our full comprehensive inspection on 18 July 2023 remains unchanged. A further full inspection of the service will take place and their rating revised if appropriate.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Manchester Road East Medical Practice on our website at www.cqc.org.uk
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Health Care