This practice was previously inspected in August 2017 and rated as Requires improvement overall.
This practice is now rated as Good overall.
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 The Smethwick Medical Centre on 2 May 2018 to follow up on breaches of regulations that were identified in the August 2017 inspection.
At this inspection we found:
- The practice had taken appropriate action following our previous inspection in August 2017 to ensure they were acting on patient feedback to improve patient experience. They had employed additional clinical staff, increased the number of face to face appointments and provided appropriate training for staff to improve communication skills.
- Patients we spoke with and comments cards we received showed there had been an improvement in staff communication, leading to improved patient satisfaction.
- Patient feedback relating to the appointment system and telephone access remained mixed, however, we saw the practice had taken action since our last inspection to try and improve patient experience and they were monitoring patient feedback.
- The practice had clear systems to manage risk so that safety incidents were less likely to happen. However, we saw not all records were completed in line with the provider’s policies.
- 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.
- The practice employed an elderly care nurse who was able to provide holistic support to patients and their carers.
- The practice was actively involved in research. The practice gave us examples of how this research benefited their patients including diagnosis of medical conditions previously undiagnosed.
The areas where the provider should make improvements are:
- The provider should continue to ensure patient feedback is monitored and demonstrate they are responding appropriately.
- The provider should ensure all safety records are completed in line with their own policies.
- The provider should consider monitoring patients referred to social prescribing schemes in order to evaluate effectiveness.
- The provider should continue to monitor and take appropriate action to improve uptake for cervical screening.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice