The Care Quality Commission
  • Doctor
  • GP practice

Archived: J Musil & Partner

Overall: Good read more about inspection ratings

Princes Medical Centre, Princes Court, Princes Avenue, Hull, Humberside, HU5 3QA (01482) 342473

Provided and run by:
J Musil & Partner

All Inspections

18 May 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at J Musil & Partner on 6 and 14 October 2015. The overall rating for the practice was requires improvement. The full comprehensive report from the October 2015 inspection can be found by selecting the ‘all reports’ link for J Musil & Partner on our website at www.cqc.org.uk.

This announced inspection was undertaken on 18 May 2017. Overall the practice is now 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 a system in place for reporting and recording significant events.
  • The practice had clearly defined and embedded systems to minimise risks to patient safety.
  • Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
  • Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients we spoke with 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 the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.

The areas where the provider should make improvements are:

  • Although patient feedback is being sought in other ways the practice should explore ways of introducing and implementing a patient participation group (PPG) to drive improvement through further suggestions from a patient perspective.

  • Consider putting systems in place for identifying and completion of appraisals for all staff in order for them to carry out their duties effectively and safely.

  • Consider implementing a system to conduct an analysis of all significant events to assess the trends and impact on patients and the service.

  • Ensure governance matters are included and reviewed at regular governance meetings to include safeguarding, significant events and complaints analysis.

  • Increase identification and support of patients registered at the practice identified as carers.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

6 and 14 October 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at J Musil & Partner on 6 and 14 October 2015.

Overall the practice is rated as requires improvement.

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

  • Staff were not clear about their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded and monitored. Incidents were not appropriately reviewed and addressed.
  • The practice had good facilities including disabled access which included a lift to allow access to first floor waiting area and consulting rooms.
  • Patients 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.

  • Urgent appointments were usually available on the day they were requested.
  • The practice had a number of policies and procedures to govern activity. However, we found these were not always followed, relevant to the practice or implemented. The practice did not hold regular governance meetings and issues were discussed at ad hoc meetings.
  • The practice had not proactively sought feedback from staff or patients.

The areas where the provider must make improvements are:

  • Policies and procedures for incident reporting must be implemented and incidents formally documented with learning recorded with clear action dates, including a system for disseminating alerts and methods for checking follow up and completion.

  • Recruitment arrangements must include all necessary employment checks for all staff.

  • Risk assessments must be completed for the control of substances hazardous to health (COSHH). Domestic cleaning equipment must be stored safely in line with infection control guidelines.

  • Systems must be in place for identifying and monitor the completion of training for all stall in order for them to carry out their duties effectively and safely.

  • Emergency oxygen must be available in the practice to support patients in the event of an emergency situation.

  • Policies and procedures must be accessible to staff, relevant to the practice and followed by the practice.
  • There must be mechanisms in place to seek feedback from staff and patients and this feedback is responded to.

In addition the provider should:

  • Infection control and hand washing audits should be completed and up to date.

  • Legionella risk assessments should be completed and records of cleaning checks maintained.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

11 November 2013

During a routine inspection

Patients told us they were asked their consent prior to treatment being carried out. They said they were treated with dignity and privacy was respected. Comments included, 'I had some treatment once and the doctor explained everything to me and gave me the chance to have the treatment done in different ways; I was very happy with that' and 'The doctor always asks before examining me.'

Patients spoken with said they were provided with information about treatment options to enable them to make informed choices. They told us they were happy with the care and treatment they received. Comments included, 'If you're actually ill you will always get to see someone that day and that's the main thing' and 'I'm very happy; they're ever so good with the children. I always manage to get an appointment.'

We found the practice to be clean and tidy. There were systems in place to prevent and control the spread of infection. Patients told us, 'I've seen the nurse wear gloves when she's been taking my blood' and 'Yes, I think it's quite clean."

We found staff had access to training and were supported in their roles by GPs, nurses and the practice manager. Comments from staff included, 'It's quite a supportive practice. You can go to the GPs with problems.'

We found there were systems in place to monitor the quality of the service provided to patients. This included audits and surveys to obtain patients views so that improvements could be made.