We carried out an announced comprehensive inspection at Market Street Health Group on 10 October 2016. The overall rating for the practice was requires improvement. The full comprehensive report published in January 2017 can be found by selecting the ‘all reports’ link for Market Street Health Group on our website at www.cqc.org.uk.
This inspection was an announced focused follow up inspection carried out on 13 February 2018 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection in October 2016.There were breaches in infection control, medicines management and management of patients with long term conditions. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
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Overall the practice is now rated as good.
Our key findings were as follows:
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There was an open and transparent approach to safety and effective systems in place for recording and reporting significant events.
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The practice carried out regular risk assessments, including health and safety and fire safety.
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There was a process to review Quality Outcomes Framework (QOF) exception reporting rates where the practice was now achieving below the CCG and national averages.
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The practice carried out an infection control audit and had completed the actions identified in it. The practice was clean and tidy and had daily and weekly cleaning schedules in place which were regularly monitored.
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Patient Group Directions (PGD) had been adopted by the practice to allow nurses to administer medicines in line with legislation. PGD’s are written instructions for the supply or administration of medicines to groups of patients who may not be individually identified before presentation for treatment.
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The practice had good facilities and was well equipped to meet patients’ needs.
- The provider was aware of and complied with the requirements of the duty of candour.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice