This practice is rated as Good overall. (Previous inspection March 2017 – Good)
We carried out an announced comprehensive inspection on at Gorton Medical Centre on 27 March 2017. The overall rating for the practice was good with key question Well Led rated as requires improvement. At that inspection we found improvements were needed in the practice systems for the monitoring of incidents and significant events, and where learning and improvement were identified these were not always shared effectively. We issued a requirement notice in respect of good governance, as further improvements were required We identified other areas of improvement including undertaking full cycle clinical audits and monitoring and sharing patient safety alerts as part of the practice’s quality improvement programme and listening to patient feedback, developing the patient participation group and maintaining a carer’s register.
The full comprehensive report on the March 2017 inspection can be found by selecting the ‘all reports’ link for Gorton Medical Centre on our website at www.cqc.org.uk
This inspection was a focused visit to the practice on 4 April 2018 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulation that we identified in our previous inspection on 27 March 2017. This report covers our findings in relation to those requirements and additional improvements made since our last inspection.
This focused inspection visit identified improvements had been made in service delivery for key question Well Led and this is now rated good.
Our key findings were as follows:
•At our previous inspection in March 2017 we found some records of significant event investigations did not contain all the required information and evidence that the findings from investigations was shared with staff was limited. At this inspection visit, both practice full team meeting and clinical meeting minutes showed the significant events were discussed and evidence was available to demonstrate improvements were made and learning from these was shared.
•Since the previous inspection, the practice had reviewed how it ensured patient safety alerts were shared with the staff team and had introduced a system to ensure these were acted upon as required.
•The practice had introduced a range of clinical searches on a variety of patient health care conditions. These searches were allocated to GPs who undertook relevant clinical audit and re-audit to evaluate the effectiveness of the actions the practice had implemented to improve patient outcomes.
•The practice had introduced a carer’s information pack and referral process. It had made some headway in building a carer’s register. However there were still low numbers of patients’ identified as carer’s.
•The practice had implemented a patient survey and initial results had indicated patients were satisfied with the service. The practice manager had identified areas requiring action as a result of patient feedback.
•The practice continued to promote their patient participation group and held regular practice meetings
The areas where the provider should make improvements are:
Continue to develop the practice carer’s register and the patient participation group.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice