We carried out a review of the data available to us about Broom Road Medical Practice on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Broom Road Medical Practice, you can give feedback on this service.
We carried out an announced comprehensive inspection of Broom Road Medical Practice on 31 March 2016. The overall rating for the practice was Good. However breaches of legal requirements were found relating to the Safe domain. The practice did not have systems or process to enable them to monitor and mitigate risk relating to health, safety and welfare of service users and others who may be at risk. There was no evidence that electrical wiring had been tested. The last Legionella assessment was completed in 2010. (Legionella is a term for a particular bacterium which can contaminate water systems in buildings). All staff records did not have details of up-to-date mandatory training, for example safeguarding and infection control.
After the comprehensive inspection, the practice submitted an action plan, outlining what they would do to meet the legal requirements in relation to the breach of regulation 12 (Safe care and treatment) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The full comprehensive report can be found by selecting the ‘all reports’ link Broom Road Medical Practice on our website at www.cqc.org.uk.
This inspection was a focused follow up review carried out on 25 July 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 31 March 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Following the focused inspection, we found the practice to be good for providing safe services.
Our key findings were as follows:
The practice had purchased a defibrillator following the initial inspection, and we saw evidence daily logs were kept to check the working status of the defibrillator.
The practice now ensured that Patient Group Directions (documents that allow nursing staff to give certain medicines and injections) were signed by the doctor instead of the practice manager.
All staff had completed training in required topics, such as infection control, safeguarding, basic life support, information governance and fire safety. We saw evidence that all staff were up to date with training.
Since the initial inspection the practice had conducted a Legionella assessment (Legionella is a term for a particular bacterium which can contaminate water systems in buildings). We saw evidence that actions had been followed up.
The practice had conducted electrical wiring testing. We saw an electrical installation condition report to verify this.
Portable appliance testing had been conducted, we saw evidence that this had been carried out since the last inspection.
Since the initial inspection the practice had conducted a fire risk assessment. We saw evidence that action points had been followed up.
Action points from meetings (including non-clinical meetings) were properly documented and reviewed.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Broom Road Medical Practice on 31 March 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
The areas where the provider must make improvements are:
Obtain a defibrillator or carry out a formal risk assessment that demonstrates how medical emergencies requiring a defibrillator could be appropriately managed without having one in the practice.
Ensure Patient Group Directions (documents that allow nursing staff to give certain medicines and injections) are signed by the doctor instead of the practice manager.
Ensure that all staff complete regular training in required topics, such as infection control, safeguarding, basic life support, information governance and fire safety and management, and that this information is stored in staff records.
Complete an up-to-date Legionella risk assessment and ensure that actions recommended are carried out. Ensure the electrical wiring is tested and any improvements are actioned.
In addition the provider should:
Ensure action points from all meetings (including non-clinical meetings) are properly documented and reviewed.
Chief Inspector of General Practice