Letter from the Chief Inspector of General Practice
This is a focused desk top review of evidence supplied by Meanwhile Garden Medical Centre, for areas within the key question effective. This review was completed on 15 December 2016. The practice is rated as good overall and in all five key domains.
We undertook a comprehensive inspection of Meanwhile Garden Medical Centre on 7 July 2015. The practice was rated as overall inadequate. Due to the inadequate rating the practice was placed in special measures. Two warning notices and two requirement notices were also issued.
We then carried out an announced comprehensive inspection on 12 April 2016 to consider if all regulatory breaches in the July 2015 inspection had been addressed and to consider whether sufficient improvements had been made to bring the practice out of special measures.
At the inspection in April 2016 we found significant improvements had been made and overall the practice was rated as good. However, the key question effective was identified as ‘requires improvement’, as the practice was not meeting the legislation around mental capacity. The practice was issued a requirement notice under Regulation 11, Need for Consent.
Although staff had received training in relation to consent, not all staff understood the relevant consent and decision-making requirements of legislation and guidance, including the Mental Capacity Act 2005.
After our inspection in April 2016 the practice supplied an action plan and a range of documents which demonstrated they are now meeting the requirements of Regulation 11 Need for Consent of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
However, at the time of the desk top review, the practice had not displayed CQC performance ratings on their website in line with Regulation 20A.
The area where the practice should make improvements is:
- Display the details of CQC’s website, the most recent CQC rating and the date it was given on the Meanwhile Garden Medical Centre website.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice