8 November 2018
During a routine inspection
This service is rated as Good overall. (Previous inspection February 2018 – Requires Improvement overall, however the practice was rated inadequate for providing effective services and remained in special measures).
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 previously carried out an announced comprehensive inspection at West Midlands Doctors Urgent Care – Wolverhampton Urgent Care Centre on 21 March 2017 as part of our regulatory functions. The service was rated as inadequate overall. The full comprehensive report for the March 2017 inspection can be found by selecting the 'all reports' link for West Midlands Doctors Urgent Care – Wolverhampton Urgent Care Centre on our website at www.cqc.org.uk .
An announced focused inspection was carried out at West Midlands Doctors Urgent Care – Wolverhampton Urgent Care Centre (WUCC) on 26 October 2017 to confirm that the service had taken appropriate action to meet the legal requirements in relation to the warning notices issued in July 2017. You can read the follow up inspection report, by selecting the 'all reports' link for West Midlands Doctors Urgent Care – Wolverhampton Urgent Care Centre on our website at www.cqc.org.uk .
A further announced comprehensive inspection was carried out at WUCC on 6 February 2018 and 27 February 2018 to confirm that the service had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified at our previous inspections on 21 March 2017 and to follow up on concerns received. The full comprehensive report for the February 2018 inspection can be found by selecting the 'all reports' link for West Midlands Doctors Urgent Care – Wolverhampton Urgent Care Centre on our website at www.cqc.org.uk .
This inspection was an announced comprehensive inspection carried out on 8 November 2018 to confirm that the service had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified at our previous inspection in February 2018. 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 service had good systems to manage risk so that safety incidents were less likely to happen. When they did happen, the service learned from them and improved their processes.
- Systems had been introduced to manage safety alerts. Risks to patients were assessed and well managed, particularly in relation to ensuring sufficient staff were available to meet surges in demand.
- The service had significantly improved their performance of the National Quality Requirements.
- The service routinely reviewed the effectiveness and appropriateness of the care it provided.
- Staff involved and treated people with compassion, kindness, dignity and respect.
- Patients could access care and treatment from the service within an appropriate timescale for their needs.
- Patients’ care needs were assessed and delivered in a timely way and according to need. An effective triage system had been implemented and all staff had received training to ensure a consistent practice.
- The service had good facilities and was well equipped to treat patients and meet their needs. The vehicles used for home visits were maintained and well equipped.
- There was a clear leadership structure and staff felt supported and valued members of the team.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
- The provider was aware of and complied with the requirements of the duty of candour.
There were areas where the provider should continue to make improvements:
- Ensure continued action is taken to achieve the National Quality Requirements performance indicators.
I am taking this service out of special measures. This recognises the significant improvements that have been made to the quality of care provided by this service’
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice