- GP practice
Archived: Branksomewood Health Centre Also known as Branksomewood Healthcare Centre
All Inspections
11 April 2017
During an inspection looking at part of the service
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Branksomewood Health Centre on 17 February 2016. The overall rating for the practice was good. The practice was rated as requires improvement for the safe domain. The full comprehensive report on the February 2016 inspection can found by selecting the ‘all reports’ link for Branksomewood Health Centre on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 11 April 2017 to confirm that the practice had carried out their action plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 17 February 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
At our previous inspection on 17 February 2016, we rated the practice requires improvement for providing safe services as the practice could not fully demonstrate that staff were fit for employment at the practice. In addition the practice was also unable to confirm that all staff had now completed or had updated training on safeguarding children and vulnerable adults.
Our key findings from the follow up inspection on 11 April 2017 were as follows:
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We found that all staff had received safeguarding adult and children training to a level suitable for their role and had engaged in further update training.
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The practice now collected employee health declaration forms for all staff when they started employment.
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Recommendations from risk assessments such as for fire and Legionella were completed and reassessed within given timescales.
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The practice had adequate chaperone arrangements.
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Significant events had been recorded more thoroughly with appropriate action points, and relevant lessons to be learned, which had been cascaded down to all relevant staff members.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
17 February 2016
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Brankesomewood Health Centre on 17 February 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
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There was an open and transparent approach to safety and a system in place for reporting and recording significant events, but this did not always ensure patient safety.
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Staff were not clear about reporting incidents, near misses and concerns and there was no evidence of learning and communication with staff.
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Risks to patients were not consistently assessed and well managed. Patients were at risk of harm because systems and processes were not used effectively to keep them safe. For example appropriate recruitment checks on staff had not been undertaken prior to their employment and actions identified to address concerns with Legionella practice had not been taken.
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
- Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
- Urgent appointments were usually available on the day they were requested.
- Information about services and how to complain was available and easy to understand.
- Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available 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 management. The practice proactively sought feedback from staff and patients, which it acted on. The practice had proactively sought feedback from patients and had an active patient participation group.
- The provider was aware of and complied with the requirements of the Duty of Candour.
The areas where the provider must make improvements are:
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Ensure all recruitment checks are carried out prior to a member of staff commencing employment.
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Ensure training is provided on safeguarding and this training is monitored when implemented and refresher training is given at appropriate intervals to ensure knowledge is current.
Areas where the provide should make improvements are:
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Ensure learning from significant events and complaints is effectively shared with all relevant staff members.
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Ensure remedial actions identified on risk assessments are implemented, in particular those related to the management of legionella.
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Review clinical audits to ensure cycles are completed and outcomes for patients are improved.
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Review arrangements for chaperoning to make sure they are consistent.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice