Oakham Medical Practice has been subject to special measures after the Care Quality Commission (CQC) ruled the surgery inadequate.
In a report, CQC Inspector Dr Rosie Benneyworth, Chief Inspector for Primary Medical Services and Integrated Care, said Cold Overton Road Medical Practice must ensure care and treatment is delivered in a safe manner to patients and establish effective systems and processes to ensure good governance “in line with core standards”.
Its report, released yesterday (July 14), rated ‘benevolence’ as good but said ‘security’ and ‘responsiveness’ needed improvement and ‘efficient’ and ‘well-run’ were rated as inadequate, which which led to an inadequate overall rating.
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As a result, Oakham’s surgery has been placed in special measures, meaning she will be reviewed in six months to ensure improvements have been made. If not, the commission “will take action in accordance with our enforcement procedures to begin the process of stopping the provider from operating the service.”
Oakham Medical Practice partners said in a statement: “We take the findings of the CQC report very seriously and have worked with our team, responding to each of the recommendations, to make improvements and provide patients with good care. quality.
“We are encouraged, however, that following the inspection carried out earlier in April, the CQC recognized the positive way in which we treat and work with our patients, involving them in decisions about their care. We hope this will provide some assurance to our patients of our commitment to providing them with safe, efficient, responsive, well-directed and caring services.
“We would like to pay tribute to our valuable staff who are our greatest asset. Our staff have continued to work with true integrity and professionalism throughout the challenges of the pandemic, adapting and responding to an increase in demand for GP services. We will continue to invest in our staff, enabling them to continue to provide good service to our patients.
In his report, Dr Benneyworth said:
- The practice had a security alert protocol in place, but recent security alerts had not been addressed appropriately.
- During the remote clinical system review, patient treatment was not reviewed or monitored on a regular basis, including regular medication reviews.
- The patients had been prescribed high-risk drugs without the appropriate examinations having taken place.
- The practice had some provisions to identify risks, but the staff had not received the recommended vaccinations. No risk assessment has been performed to identify potential risks to patients and staff in the absence of vaccination status.
- Insurance systems were not effectively monitored to mitigate risk and inspectors discovered that an emergency oxygen cylinder that had expired in 2019 had not been removed from the emergency medical bag.
- The practice had staffing issues that impacted recruitment. The practice was continually trying to recruit and in the past nine months had employed four salaried general practitioners, four advanced nurse practitioners and an assistant practice manager.
- While reviewing staff records, inspectors found that non-clinical staff had not received recent assessments and gaps in staff training were identified, including sepsis protection and awareness .
- Staff treated patients with kindness and respect and involved them in decisions about their care.
- The practice has adjusted the way it provides services to meet patient needs during the Covid-19 pandemic. Patients could access care and treatment in a timely manner.
She said the provider should continue to encourage patients to come in for cervical screening and monitor staff training.
Dr Benneyworth’s report added: ‘Special measures will reassure people who use the service that the care they receive should improve.’
The practice, which serves approximately 16,000 patients, provides services to the main practice and also has a minor injury and same-day team located at Rutland Memorial Hospital. Patients can access services from either site.
The announced inspection took place in April at the same time as the CQC inspected a range of urgent and urgent care services in Rutland and Leicestershire.