This practice is rated as Good overall. (Previous rating February 2016 – Good)
The key questions at this inspection are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
We carried out an announced comprehensive inspection at Portland Medical Practice on 1 and 5 November 2018.
At this inspection we found:
- The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
- The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
- The practice understood the needs of its population and tailored services in response to those needs. There was evidence of a number of projects and services the practice had been involved with to ensure patients’ needs were met.
- The practice was participating in a pilot with MacMillan Cancer Support to develop the role of the Non-Clinical MacMillan Cancer Care Lead, to support newly diagnosed patients.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- The system for on the day appointments had changed to a triage system in which reception staff had been in receipt of appropriate training and guidance.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
The areas where the provider should make improvements are:
- Carry out a risk assessment for those members of staff where a disclosure and barring service check had not been completed.
- Document a risk assessments for those staff whose immunisation status was not known, until the complete immunisation status for all members of staff has been obtained.
- Develop an asset register for all equipment held at the practice.
- Carry out a risk assessment to determine the choice of medicines for use in a medical emergency.
- Demonstrate the competence of staff employed in advanced roles by audit of their clinical decision making.
- Include information about escalating complaints to the Parliamentary and Health Service Ombudsman in the complaint response letters.
- Record detailed minutes of meetings including the attendees, any actions, timescales and review dates.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.