Archived: The Moorings Medical Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Moorings Medical Practice on 20 December 2016. The overall rating for the practice was good, although the safe domain was rated as requires improvement. The inspection found the practice must undertake the following:

• The practice must ensure that clinical rooms in the practice are secure.

• The practice must ensure that all electrical equipment in the practice has been portable appliance tested.

• The practice must ensure that a defibrillator is available on the premises or that they carry out a risk assessment to mitigate the risks of not having one.

The report also found that the practice should do the following:

• The practice should consider requiring staff to undertake basic life support training on an annual basis.

The full comprehensive report of the 20 December 2016 inspection can be found by selecting the ‘all reports’ link The Moorings Medical Practice on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 11 May 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 20 December 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is rated as good.

Our key findings were as follows:

• The practice had added locks to all rooms at the practice such that they were secure.

• The practice had ensured that the practice had all required equipment and that it had all been checked to ensure that it was working correctly.

• The practice had arranged training for all staff to attend basic life support training.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Moorings Medical Practice on 20 December 2016. Overall the practice is 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 an effective system in place for reporting and recording significant events.
• Risks to patients were in some cases assessed and well managed. However, clinical rooms were not secure, the practice did not have a defibrillator in the event of an emergency and some electrical equipment had not been tested.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
• 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. Improvements were made to the quality of care as a result of complaints and concerns.
• Patients 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 and complied with the requirements of the duty of candour.

The areas where the provider must make improvement are:

• The practice must ensure that clinical rooms in the practice are secure.

• The practice must ensure that all electrical equipment in the practice has been portable appliance tested.

• The practice must ensure that a defibrillator is available on the premises or that they carry out a risk assessment to mitigate the risks of not having one.

The areas where the provider must make improvement are:

• The practice should consider holding copies of all GP and nurse training certificates (including those for locums) at the practice premises.

• The practice should consider requiring staff to undertake basic life support training on an annual basis.

• The practice should consider reviewing how carers are identified.

• The practice should consider adding details of the Health Service Ombudsman in letters of response to complaints, although these details are provided in the practice's complaints leaflet.

• The practice should continue the progress of establishing its patient participation group.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice