This practice is rated as Good overall. (Previous inspection September 2017– Requires improvement)
The key questions 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 Mexborough Health Centre on 18 September 2017. The overall rating for the practice was requires improvement. The full comprehensive report from this inspection can be found by selecting the ‘all reports’ link for Mexborough Health Centre on our website at www.cqc.org.uk.
This inspection was an announced comprehensive inspection carried out on 11 April 2018 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 in our previous inspection on 18 September 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
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.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- The telephone and appointment system had recently been reviewed to make it easier for patients to access care when they needed it.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
We saw one area of outstanding practice:
- A member of the patient participation group (PPG) had completed the expert patient programme and facilitated a creative well being group for patients and their carers registered at the practice and from the local area supported by other members of the PPG and practice staff. The group met twice a month and provided those who attended with the opportunity to take part in various creative activities. People spoke very enthusiastically of the sessions and we were told how attendance had increased and how it benefited to address social isolation.
The areas where the provider
should
make improvements are:
- Promote awareness of sepsis in the practice by providing notices and leaftets for patients and staff.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice