Dr JJC Marlborough's Practice - Care Quality Commission

Background to this inspection

Updated 24 November 2016

Dr JJC Marlborough’s Practice (also known as The Montague Practice) is located, with several other GP practices and health care providers, in a large purpose built health centre close to the centre of Blackburn. The building is well designed and spacious with good facilities for those

with limited mobility and a car park is available for the use of patients.

The practice delivers services under a Personal Medical Services (PMS) contract with NHS England to approximately 6200 patients, and is part of the NHS Blackburn with Darwen Clinical Commissioning Group (CCG).

Male and female life expectancy in the practice geographical area is comparable to the CCG averages but slightly below the England average for males at 76 years and 81 years for females (England average 79 and 83 years respectively). Age groups and population groups within the

practice population are comparable with CCG and national averages.

Information published by Public Health England rates the level of deprivation within the practice population group as two on a scale of one to ten. Level one represents the highest levels of deprivation and level ten the lowest.

The practice is staffed by two GP partners (one male and one female) and a salaried GP (female). The GPs are supported by an advanced nurse practitioner, a practice nurse and an assistant practitioner. Clinical staff are supported by a practice manager and five administration and reception staff.

The practice is open between 8.30am to 6.30pm Monday to Friday. In addition to pre-bookable appointments that could be booked up to six weeks in advance, urgent appointments are also available for people that need them. When the practice is closed Out of Hours services are

provided by East Lancashire Medical Services and can be contacted by telephoning NHS 111.

The practice provides online patient access that allows patients to book appointments and order prescriptions.

Overall inspection

Good

Updated 24 November 2016

Letter from the Chief Inspector of General Practice

This is a focused desk top review of evidence supplied by Dr JJC Marlborough’s Practice also known as The Montague Practice for areas within the key question safe.

We found the practice to be good in providing safe services. Overall, the practice is rated as good.

The practice was inspected on 22 June 2016. The inspection was a comprehensive inspection under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (HSCA). At that inspection, the practice was rated ‘good’ overall. However, within the key question safe, areas were identified as requires improvement, as the practice was not meeting the legislation at that time; Regulation 12 safe care and treatment.

At the inspection in June 2016 we found that; comprehensive and complete pre-employment and

recruitment records were not maintained for all staff. The system for the management of emergency medicines and associated items was not effective and documentation in place to control the administration of medicines did not consistently detail required authorisations.

The practice supplied an action plan and a range of documents which demonstrated they are now meeting the requirements of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Professor Steve Field (CBE FRCP FFPH FRCGP)

Chief Inspector of General Practice