11 August 2015
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Marybone Health Centre on 11 August 2015. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
- Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
- Risks to patients were assessed and well managed.
- Some equipment at the practice was not in use, for example spirometry equipment and a defibrillator. Staff could not say when they would be available for use. There was no risk assessment in place to support any decision by the practice not to have a defibrillator available for use.
- Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
- Patients commented that they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
- Information about services and how to complain was available and easy to understand.
- Patients commented that 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.
However there were areas of practice where the provider needs to make improvements. Importantly the provider must:
- ensure spirometry equipment used by nurses who review patients with COPD is serviced, available and ready for use.
There were areas of practice where the provider should make improvements. The provider should:
- conduct a risk assessment on the need for a defibrillator at the practice.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice