The Care Quality Commission
  • Doctor
  • GP practice

Stapenhill Medical Centre

Overall: Good read more about inspection ratings

Fyfield Road, Stapenhill, Burton On Trent, Staffordshire, DE15 9QD (01283) 565200

Provided and run by:
Stapenhill

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Stapenhill Medical Centre on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Stapenhill Medical Centre, you can give feedback on this service.

14 August 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We previously carried out an announced comprehensive inspection at Stapenhill Medical Centre on 23 August 2016. The overall rating for the practice was requires improvement, with the safe and well led key questions being rated as requires improvement. The practice was rated as good for the key questions of effective, caring and responsive. We found two breaches of the legal requirements and as a result we issued requirement notices in relation to:

  • Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulation 2014 – Good Governance.
  • Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulation 2014 – Safe Care and Treatment.

The full comprehensive report from the inspection on the 23 August 2016 can be found by selecting the ‘all reports’ link for Stapenhill Medical Centre on our website at www.cqc.org.uk

We carried out an announced comprehensive inspection at Stapenhill Medical Centre on 14 August 2017. Overall the practice is now 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 report incidents and near misses. Processes introduced since our last inspection demonstrated that learning was now shared and any resultant changes to systems and procedures implemented.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Risks to patients and staff were comprehensively assessed.
  • Appropriate recruitment checks had been completed.
  • Staff had received training appropriate to their roles and any further training needs had been identified and planned.
  • Information about services and how to complain was available and easy to understand.
  • 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.
  • Patients said they found it easy to make an appointment with a named or preferred GP and urgent appointments were available the same day.

The areas where the practice should make improvements are:

  • Consider extending the template used for recording receipt external alerts to include the nursing team.
  • Improve the systems for monitoring uncollected prescriptions and for tracking the use of prescription pads and forms.
  • Carry out a risk assessment to establish which medicines should be carried as routine when performing home visits.
  • Explore how the high exception reporting for annual reviews of patients on the mental health register and patients with learning disabilities could be reduced.
  • Formalise and document the support from GPs provided to the nurse prescribers.
  • Review the system for recording verbal complaints to allow themes and trends to be identified.
  • Explore how the practice could be proactive in capturing patient feedback.
  • Consider further improvements to the governance framework to include regular internal meetings for the nursing team.


Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

23 August 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Stapenhill Medical Centre on 23 August 2016. Overall the practice is rated as requires improvement.

Our key findings across all the areas we inspected were as follows:

  • Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. However there was not always evidence that learning had been shared.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Risks to patients and staff were not comprehensively assessed and not all appropriate recruitment checks had been completed.
  • Staff had received training appropriate to their roles and any further training needs had been identified and planned.
  • Patients spoke of a high level of service. The practice implemented suggestions for improvements and made changes to the way it delivered services as a consequence of feedback from patients.
  • Information about services and how to complain was available and easy to understand.
  • 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.
  • The practice proactively sought feedback from staff, patients and third party organisations, which it acted on.
  • Patients said they found it easy to make an appointment with a named or preferred GP and urgent appointments available the same day.

The areas where the practice must make improvements are:

  • Implement an effective system to manage risk, ensuring risks are identified, assessed and actions taken to promote safety.
  • Complete a risk assessment for legionella.
  • Recruitment checks must be completed in accordance with schedule three of the Health and Social Care Act 2008 (Regulated Activities).

The areas where the practice should make improvements are:

  • Ensure actions stated in the infection prevention control audits are completed or planned.
  • Ensure learning is shared and any resultant changes to systems and procedures implemented.
  • Introduce a system to monitor the use of prescription pads and forms.
  • Implement a formal checking system for medication held in GPs’ bags.
  • Ensure staff are aware of the business continuity plan.
  • Implement a system to ensure nationally recognised clinical guidelines are followed.
  • Complete induction programmes for all new staff and annual competency checks on dispensers.
  • Explore how the practice could be proactive in identifying patients who are also carers.
  • Review complaint handling procedures to ensure arrangements are in place for:
  • Identifying, receiving, recording, handling and responding to verbal complaints.
  • Involvement of the wider practice team in the review of complaints.
  • Ensuring that complainants are aware of their options if not satisfied with the outcome.
  • Review the governance arrangements to record minutes of formal meetings when appropriate.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice