The Care Quality Commission
  • Doctor
  • GP practice

Archived: The Medical Centre

Overall: Good read more about inspection ratings

39 Kenilworth Close, Redditch, Worcestershire, B97 5JX (01527) 402149

Provided and run by:
Dr Shoeb Suryani

Important: This service was previously registered at a different address - see old profile
Important: The provider of this service changed. See new profile

All Inspections

11/12/2019

During an inspection looking at part of the service

We carried out a focussed inspection at The Medical Centre following an Annual Regulatory Review of the practice and a breach of regulation at the last inspection. During this inspection we looked at safe, effective and well-led. The practice was previously inspected in November 2018 and rated requires improvement in safe and good in all other key lines of enquiry.

We based our judgement of the quality of care at this service on a combination of:

•what we found when we inspected

•information from our ongoing monitoring of data about services and

•information from the provider, patients, the public and other organisations.

We have rated this practice as good overall and good for each of the population groups.

During the last inspection in November 2018 we found an area where the provider must make improvements:

• Ensure care and treatment is provided in a safe way to patients.

This was because when we previously inspected the practice we found that the practice did not have Diazepam which is a medicine used to treat patients having a fit and Furosemide which is an injection used to treat water retention. The practice ordered both of these medicines straight after the inspection. The practice had not done a risk assessment for either of these medicines at the time of our last inspection.

At this inspection we found that there was a comprehensive system in place to ensure that medicines were being checked appropriately every week and the practice had assured itself that the range of emergency medicines in stock was sufficient to cover the range of conditions it would be likely to encounter.

During the last inspection in November 2018 we found a few areas where the provider should make improvements:

• The security of prescription pads should be strengthened, including how prescriptions are tracked through the practice.

• Carry out complete clinical audit cycles to review the effectiveness and appropriateness of the care provided.

• Review survey results and take action in order to improve patients’ experience, particularly in respect of patient interaction with GPs

• Make the chaperone policy accessible to all staff and ensure patients know that they can access a chaperone if required.

At this inspection we found that the practice had taken appropriate action in all of these areas:

•Prescriptions were no longer kept in drawers at all and were locked away. There was a log in place with the last four numbers of the prescription number in place to strengthen security.

•The practice was carrying out complete audit cycles to review the effectiveness and appropriateness of clinical care provided. However we did find some audits difficult to follow.

•The practice was reviewing survey results and undertook internal surveys to encourage more feedback from patients.

•The chaperone policy was now available in all rooms so that all staff and patients could access this as required.

We found:

•The practice provided care in a way that kept patients safe and protected them from avoidable harm.

•Patients received effective care and treatment that met their needs.

•Staff dealt with patients with kindness and respect and involved them in decisions about their care.

•The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.

•The practice had a focus on learning and improvement.

•The way the practice was led and managed promoted the delivery of high-quality, person-centred care.

However, there was also an area of practice where the provider could make improvements.

The provider should:

•Continue to engage with the Patient Participation Group and take their views into account

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

09/11/2018

During a routine inspection

This practice is rated as Good overall. (Previous rating 28/01/2016 – 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 the Medical Centre on 9 November 2018 as part of our inspection programme.

At this inspection we found:

  • The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes. Staff we spoke with were able to discuss significant events which had been discussed at team meetings. We did, however, note that the practice had not assured itself that the range of emergency medicines in stock would be sufficient to cover the range of situations it may be likely to encounter.
  • Most staff involved and treated patients with compassion, kindness, dignity and respect.
  • Some patients expressed negative views when commenting on their perception of the main GP.
  • Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
  • There was a focus on continuous learning and improvement at all levels of the organisation.
  • The practice looked after patients at two local care homes and carried out weekly visits to patients at the homes.
  • There was regular communication at the practice and all the team met on a monthly basis.

The area where the provider must make improvements are:

  • Ensure care and treatment is provided in a safe way to patients

The areas where the provider should make improvements are:

  • The security of prescription pads should be strengthened, including how prescriptions are tracked through the practice.
  • Carry out complete clinical audit cycles to review the effectiveness and appropriateness of the care provided.
  • Review survey results and take action in order to improve patients’ experience, particulary in respect of patient interaction with GPs
  • Make the chaperone policy accessible to all staff and ensure patients know that they can access a chaperone if required.

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.

04 December 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Medical Centre on 4 December 2015. 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.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
  • Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. All opportunities for learning from incidents were maximised.
  • Information about how to complain was available and easy to understand
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment. Information was provided to help patients understand the care available to them.
  • The practice implemented suggestions for improvements and made changes to the way it delivered services as a consequence of feedback from patients and from the Patient Participation Group (PPG).
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • The practice had a clear vision about providing a quality and caring service in a safe way.


Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice