The Care Quality Commission
  • Doctor
  • GP practice

Archived: Bilston Urban Village Medical Centre Also known as IntraHealth Limited

Overall: Good read more about inspection ratings

Bankfield Road, Bilston, West Midlands, WV14 0EE (01902) 409905

Provided and run by:
IntraHealth Limited

Important: The provider of this service changed. See new profile

All Inspections

31 May 2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We previously carried out an announced comprehensive inspection at Bilston Urban Village Medical Centre on 1 July 2016. After the comprehensive inspection, the practice was rated as requires improvement for providing well led services.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Bilston Urban Village Medical Centre on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 31 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 at our previous inspection on 1 July 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection

Our key findings across all the areas we inspected were as follows:

  • The practice had reviewed their processes for reporting, recording significant events and monitoring any changes made.
  • The practice had reviewed its data protection and confidentiality policies and procedures to ensure they were aligned to relevant guidance. A folder with guidance on the length of time different types of information should be kept before they were destroyed was available to staff.
  • Systems to effectively manage safety alerts had been implemented. For example, we saw copies of recent medicine alerts the practice had received with appropriate records to confirm the alerts had been reviewed and appropriate action taken.
  • Systems had been put in place for checking the ongoing accuracy of the temperature of fridges used to store medicines. The changes made ensured that medicines requiring refrigeration were stored in line with the manufacturer’s guidance.
  • The practice had pro-actively identified a further 35 carers and had arrangements in place to ensure carers had ease of access to the support they need.
  • The provider was aware of and complied with the requirements of the duty of candour.

At this inspection we found that the practice had addressed all the concerns raised and is now rated as good for providing well-led services.

There was one area of practice where the provider should still make improvements:

  • Continue to make improvements to proactively identify carers and establish support they need.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

1 July 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Bilston Urban Village Medical Practice on 1 July 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

  • There were systems in place for reporting and recording significant events. Some significant event records were not available which made it difficult to track the events.
  • Staff understood their responsibilities to raise concerns and to report incidents and near misses.
  • Risks to patients were assessed but the practice did not maintain records of the safety alerts it received to confirm the alerts had been reviewed and appropriate action taken.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance.
  • The practice had a programme of continuous clinical and internal audit in order to monitor quality and make improvements.
  • The practice invested in staff development and training.
  • 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 experienced problems getting an appointment. Urgent appointments were available on 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 the 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 practice had governance arrangements in place, but effective arrangements were not in place to ensure records were maintained for the required time period before they were destroyed.

The areas where the provider should make improvements are:

  • Review the arrangements  for the maintenance, security and destruction of records.
  • Review the arrangements for recording the receipt and action taken in response to alerts received from relevant bodies such as the Medicines and Healthcare products Regulatory Agency (MHRA).
  • Review the arrangements for checking the ongoing accuracy of fridge temperature monitoring records to ensure that medicines requiring refrigeration are stored in line with the manufacturer’s guidance.
  • Consider pro-actively identifying carers and establishing what support they need.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice