10 May 2017
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Lancelot Medical Centre on 18 September 2015. The overall rating for the practice was requires improvement. The full comprehensive report of the 18 September 2015 inspection can be found by selecting the ‘all reports’ link for on our website at www.cqc.org.uk.
This inspection was carried out to check that action had been taken to comply with legal requirements, ensure improvements had been made and to review the practice's ratings. Overall the practice is now rated as good.
Our key findings 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.
- Recent feedback from patients were positive. Patients said they were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment. The service was accessible.
- 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.
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The practice had addressed the concerns identified at our previous inspection, for example, it had improved the layout of the waiting area to protect patient confidentiality.
The areas where the provider should make improvement are:
- The practice should introduce a process to monitor that relevant safety alerts are actioned.
- The practice should review areas of performance where its exception reporting is above average to ensure that patients are being appropriately monitored over time.
- The practice should continue to proactively identify patients who are carers to ensure they receive appropriate support and their needs are met.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice