Archived: Marybrook Medical Centre Also known as Church Street Medical

Updated 30 April 2020

Marybrook Medical Centre is located at:

Marybrook St

Berkeley

GL13 9BL

In October 2018 Marybrook Medical Centre was taken over by the provider Church Street Medical on a temporary contract. This provider was still in post when we inspected on 4 February 2020. The provider can be located at:

The Devereux Centre

Barton Road

Tewkesbury

GL20 5GJ

The new permanent provider is due to take over practice services from 1 April 2020.

The provider is registered with CQC to deliver the Regulated Activities; diagnostic and screening procedures, maternity and midwifery services and treatment of disease, disorder or injury, surgical procedures and family planning.

Marybrook Medical Centre is situated in the Gloucestershire Clinical Commissioning Group (CCG) and provides services to approximately 5,034 patients under the terms of an alternative provider medical services (APMS) contract.

The provider consists of five GP partners but only one of the partners worked from Marybrook Medical Centre. The practice clinical team consisted mostly of locum staff, however they did employ a practice nurse, a healthcare assistant and a phlebotomist. The clinical team was supported by reception and administration teams. The practice manager had recently left the practice in December 2019 and an interim practice manager had been brought in from within the provider organisation to support staff.

When the practice is not open, patients are directed to the NHS 111 service.

Updated 30 April 2020

We carried out an announced comprehensive inspection at Marybrook Medical Centre on 4 February 2020 as part of our inspection programme.

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 have rated the practice as inadequate overall and requires improvement for all population groups.

We found that:

• Processes to respond to significant events and identify learning, were not effective.
• Processes to ensure the practice held appropriate emergency medicines were not effective.
• Processes to mitigate risk were not always effective.
• There was not effective oversight of staff training.
• Processes to ensure recruitment checks were consistently conducted including for locum staff, were not effective.
• Achievement for annual health reviews was below local and national averages.
• Processes to ensure privacy and dignity for patients were not embedded.
• Complaints were not consistently responded to in line with policy.
• There was a heavy reliance on locum staff and there was not effective oversight to ensure they received the appropriate training and information.
• Policies and procedures were not fully embedded to ensure compliance with the regulations.

Areas were the provider must make improvements are:

• Ensure care and treatment is provided in a safe way to patients.
• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

Areas where the provider should make improvements are:

• Review arrangements for the safe storage of emergency medicines and equipment.
• Identify actions to improve the patient experience.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Rosie Benneyworth

Chief Inspector of PMS and Integrated Care

Updated 30 April 2020

Updated 30 April 2020

Updated 30 April 2020

Updated 30 April 2020

Updated 30 April 2020

Updated 30 April 2020