We carried out an announced comprehensive inspection at Shinfield Health Centre on 13 September 2017. The overall rating for the practice was requires improvement. The full comprehensive report on the September 2017 inspection can be found by selecting the ‘all reports’ link for Shinfield Health Centre on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 14 March 2018 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 13 September 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is now rated as good.
Our key findings were as follows:
- There was an appropriate system in place to respond to complaints and share learning arising from complaints.
- There was an effective system in place for keeping emergency equipment and medicines needed for medical emergencies. Both equipment and medicines were regularly checked.
- Staff received training appropriate to their roles.
- The practice had an action plan underway to improve access to the practice by telephone and to appointments. Whilst the actions identified were underway it was too early to evaluate whether they would be effective in improving access to the service.
- Staffing structures had been reviewed and recruitment campaigns launched to increase clinical staffing levels. Two part time practice nurses and a clinical pharmacist had been recruited.
- Staff were involved in the management of the practice via a weekly team meeting attended by team leaders and the partners.
However, there were also areas of practice where the provider needs to make improvements.
Importantly, the provider should:
- Monitor implementation of their action plan and evaluate whether actions taken to improve access are effective.
At our previous inspection on 13 September 2017, we rated the practice as requires improvement for providing responsive services because feedback from patients was poor in regard to accessing the practice by telephone and obtaining appointments. At this inspection we found that the practice had clear plans in place to address patient feedback. However, the plan had commenced and there was further work to be undertaken. It was too early to evaluate if the plan would improve access. Consequently, the practice is still rated as requires improvement for providing responsive services.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice