We carried out a review of the data available to us about Stockbridge Village 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 Stockbridge Village Medical Centre, you can give feedback on this service.
We carried out an announced comprehensive inspection at Dr Rigby and Partners on 29 November 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the inspection can be found by selecting the ‘all reports’ link for Dr Rigby and Partners on our website at www.cqc.org.uk.
This inspection was a focused follow up inspection carried out on 3 April 2017 to check if the provider had carried out their plan to meet the legal requirements in relation to the breaches identified for the domains for Safe and Well led. This report covers our findings in relation to that and additional improvements made since our last inspection 29 November 2016. We had issued three requirement notices regarding the breaches of regulations.
Regulation 12 HSCA (RA) Regulations 2014 Safe care and treatment.
The provider did not assess, monitor, manage and mitigate risks to the health and safety of patients, public and staff. They had failed to identify the associated risks by the lack of health and safety procedures, systems and processes including those associated with infections and fire safety.
Regulation 13 HSCA (RA) Regulations 2014 Safeguarding service users from abuse and improper treatment. The provider did not have full systems and processes in place to prevent abuse in that staff were not suitably trained or updated at a level suitable to their role.
Regulation 17 HSCA (RA) Regulations 2014 Good governance. The provider did not have effective systems in place to assess, monitor, manage and mitigate the risks relating to the health, safety and welfare of patients and others. The provider did not have effective systems in place to ensure their governance systems remained effective.
The findings of this inspection were that the provider had taken a number of actions to meet the requirement notices issued and improvements had been made since our last inspection. Overall the practice is now rated as good.
Our key findings were as follows:
The practice had addressed the issues identified during the previous inspection.
Risks had been assessed, monitored and mitigated with updated risk assessments including health and safety, infection control, environmental and fire risk assessments. Fire safety drills were undertaken and there was an identified fire marshall within the staff team.
Recruitment arrangements had been reviewed and updated and now included all necessary employment checks.
Staff were trained and updated appropriately in core topics such as health and safety, infection control, safeguarding and fire safety. Staff received safeguarding training at a level relevant to their role.
Policies and procedures relating to health and safety and other relevant policies had been updated since our last inspection and were specific to the practice.
Effective governance arrangements were in place and monitored to ensure they remained effective.
In addition, the practice had made the following improvements:
Significant events were regularly reviewed in order to identify themes and trends.
Storage of medical records had been reviewed with updated guidance and procedures for staff to follow to help minimise the risk of loss or damage due to environmental factors.
The recording/documentation of all meetings including multi-disciplinary meetings had been reviewed to ensure clear records were kept.
The documentation and recording of staff induction had been reviewed and provided for any new members of staff.
The system for monitoring clinical staff’s professional registration had been reviewed there was a staff log to support regular monitoring and updates to individual registrations.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr P Rigby and Partners on 29 November 2016. Overall the practice is rated as requires improvement.
Our key findings across all the areas we inspected were as follows:
Improvements were needed to governance systems and processes to ensure that health and safety risks to patients were assessed, monitored and mitigated.
The areas where the provider must make improvement are:
Ensure that risks are assessed, monitored and mitigated including health and safety, infection control, environmental and fire.
Ensure that fire safety drills are undertaken on a regular basis.
Ensure recruitment arrangements include all necessary employment checks for all staff.
Ensure staff receive safeguarding training at a level relevant to their role and which is updated regularly.
Ensure that health and safety and other relevant policies and procedures are implemented, specific to the practice, dated and are regularly reviewed.
Ensure staff are trained and updated appropriately in core topics such as health and safety, infection control, safeguarding and fire safety.
Ensure effective governance arrangements are in place and monitored to ensure they remain effective.
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The areas where the provider should make improvement are:
Review significant events annually in order to identify themes and trends.
Review patient record storage to minimise the risk of loss or damage due to environmental factors.
Review the documentation and recording of staff induction.
Review the recording/documentation of all meetings including multi-disciplinary meetings.
Review the system for monitoring clinical staff’s professional registration.
Chief Inspector of General Practice