The Care Quality Commission
  • Doctor
  • GP practice

Fleet Medical Centre

Overall: Good read more about inspection ratings

Church Road,, Fleet, Hampshire, GU51 4PE (01252) 613327

Provided and run by:
Hart Health Partnership

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Fleet Medical Centre 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 Fleet Medical Centre, you can give feedback on this service.

28 February 2020

During an annual regulatory review

We reviewed the information available to us about Fleet Medical Centre on 28 February 2020. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

13 December 2018

During a routine inspection

We carried out an announced comprehensive inspection at Fleet Medical Centre on 13 December 2018 as part of our inspection programme.

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.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm but infection prevention and control measures were not fully embedded.
  • 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.
  • Patient areas of the practice had been recently refurbished to be in line with the practice’s Dementia Friendly accreditation status.
  • Duty of Candour was evidenced by the practice in response to complaints and significant events.
  • The practice completed clinical audits to drive improvement for better patient outcomes.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

We saw one area of outstanding practice including:

  • The practice had implemented a ‘Code 300’ protocol in order for patients experiencing a crisis with their condition and medical care could access a GP without an initial triage or delay in waiting for a clinician to call them back. We were told this was intended for short-term use by patients receiving palliative care or for those experiencing a mental health crisis. Patients would be advised to identify themselves as a ‘Code 300’ upon contacting the practice and receptionists would find the next available clinician to review without further triaging or questions being asked.

The areas where the provider should make improvements are:

  • Improve the identification of carers to enable this group of patients to access the care and support they need.
  • Continue to act upon the findings of infection prevention and control audit to enable full compliance with local guidelines.
  • Continue to improve the uptake for cervical screening to achieve the national target of 80%.
  • Review how the practice uses the patient participation group to maintain a patient feedback resource.
  • Review how the practice maintains full oversight of staff training and records of completion.

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

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

17/07/2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced focused inspection of Fleet Medical Centre, Church Road, Fleet, Hampshire, GU51 4PE on 17 July 2015.

Our previous inspection in October 2014 found breaches of regulations relating to the safe delivery of services.

We found the practice required improvement for the provision of safe services, and was rated good for providing effective, caring, responsive and well-led services.

This inspection was carried out to check the practice was meeting regulations. For this reason we have only rated the location for the key question to which this relates.

This report should be read in conjunction with the full inspection report of 2 October 2014.

We found the practice had made improvements since our last inspection in October 2014. At our inspection on the 17 July 2015 we found the practice was meeting the regulations that had previously been breached.

Specifically the practice was:

  • Operating safe systems of recruitment by ensuing recruitment arrangements included all the necessary employment checks for all staff.
  • Operating procedures to ensure the management of equipment used to administer emergency medicines was available and fit for purpose.

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice

2 October 2014

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out a comprehensive inspection of this service on 2nd October 2014.

We have rated the practice as good overall.

The practice delivered effective care and treatment to its patients. There was a clear vision and strategy which outlined planning objectives for the sustainability of the service in the future. Staff took an active role in the planning and delivery of the service. We saw a clear and simple management structure in place and monitored which supported the service to run smoothly.

Our key findings were as follows:

  • The practice was clean, well maintained and there were systems in place to maintain appropriate standards of cleanliness and hygiene.
  • Patient’s access requirements were taken into account when services were planned and delivered. These included availability of appointments outside working hours and physical access for disabled patients. 
  • Patients rated the practice above the regional average for ability to get an appointment to see or speak to someone, their confidence with nursing staff and being given enough time for their nurse appointments.
  • GPs and nurses received appropriate training and professional development supervision and training.
  • The practice regularly assessed and monitored the quality of its services and actions were taken to improve when necessary.

However, there were also areas of practice where the provider needs to make improvements. 

Importantly, the provider must:

  • Ensure that relevant checks are carried out for staff prior to employment.
  • Ensure medical emergency equipment is available and fit for purpose (within use by date).

In addition the provider should:

  • Ensure relevant staff know what action to take in the event of a potential failure in the cold chain in relation to the safe storage of medicines (for example, a fridge breakdown).  

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice