Archived: Kelsall Medical Centre

We rated the practice as good for providing safe, effective, caring, responsive and well-led services because:

• Staff had the information they needed to deliver safe care and treatment.
• The practice ensured that care and treatment was delivered according to evidence- based guidelines.
• Staff dealt with patients with kindness and respect and involved them in decisions about their care.
• The practice monitored patient access to services and made changes to improve access when required.
• The practice organised and delivered services to meet the needs of patients.
• There was a focus on continuous learning and improvement.

We rated the population groups as good.

The areas where the provider should make improvements are:

• Non-clinical staff to receive training in identifying sepsis.
• In-house audits of antibiotic prescribing and prescribing of controlled drugs should take place on a regular basis.
• A Freedom to Speak Up Guardian should be identified and their details publicised.
• Put in place a planned programme of quality improvement.
• Keep the risk assessment for the emergency medication under regular review. Put in place a more detailed risk assessment for the reasoning behind not holding naloxone.
• Designated fire marshals to receive training for their role and emergency lighting testing to be monitored to ensure it takes place monthly.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BS BM BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care