We carried out an announced comprehensive inspection at Jubilee Medical Group on 26 October 2022. Overall, the practice is rated as good.
Safe - good
Effective - good
Well-led - good
Following our previous inspection on 19 September 2016, the practice was rated good overall and for all key questions. At this inspection we carried over the ratings from the previous inspection for the Caring and Responsive domains.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Jubilee Medical Group on our website at www.cqc.org.uk
Why we carried out this inspection
We carried out this inspection in line with our inspection priorities.
How we carried out the inspection
This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.
This included:
- Conducting staff interviews using video conferencing.
- Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
- Reviewing patient records to identify issues and clarify actions taken by the provider.
- Requesting evidence from the provider.
- A short site visit.
Our findings
We based our judgement of the quality of care at this service on a combination of:
- what we found when we inspected
- information from our ongoing monitoring of data about services and
- information from the provider, patients, the public and other organisations.
We found that:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- Patients received effective care and treatment that met their needs.
- The way the practice was led and managed promoted the delivery of good quality, person-centre care.
Whilst we found no breaches of regulations, the provider should:
- Update their recruitment policy to include all of the information required as stated in Schedule 3 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
- Record the control measures in place in the fire risk assessments for the 3 premises.
- Complete planned training so that all clinical staff complete the required level of adult and children safeguarding training appropriate for their role.
- Embed the revised procedures for managing blood results and monitoring that health checks are completed prior to prescribing medication to ensure they are effective.
- Improve their systems to allow all staff the opportunity to learn from significant events and complaints and to ensure the actions arising from significant events are clearly documented.
- Improve the complaint information available for patients to indicate that complaints about the practice may also be made to NHS England.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services