Manor Park Medical Practice

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

During our assessment of this key question, safeguarding systems and processes had been implemented and staff had appropriate training. During the remote clinical reviews, patients were being well managed and medicines were being appropriately prescribed and reviewed. Processes were also in place to monitor the emergency medicines and staff knew where to locate these items if needed.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Learning culture during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Safe systems, pathways and transitions during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not review this evidence category as part of this assessment.

Staff had a clear understanding of safeguarding with the appropriate training in place. Staff knew how to raise safeguarding concerns and were aware of the safeguarding lead. Staff acknowledged the literature around the practice to signpost them to support.

Partners told us about the regular meetings whereby safeguarding was discussed. Partners also expressed familiarity with processes to follow to ensure the necessary care was given to patients.

The practice has processes in place to ensure that patients are safeguarded from harm. We undertook a review of patient clinical records and found no risk associated with patients on the safeguarding register. The practice responded to safeguarding concerns raised by the ambulance service and police. Safeguarding alerts, codes and reminders were seen on the records of vulnerable adults during the remote records review. However, sometimes alerts were missing on the parents/adult family members of the vulnerable children, but the practice was responsive and made the appropriate changes.

We did not look at Involving people to manage risks during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Safe environments during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Safe and effective staffing during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Infection prevention and control during this assessment. The score for this quality statement is based on the previous rating for Safe.

The evidence we reviewed did not show any concerns about people’s experience regarding medicines optimisation at this practice.

Staff told us that they involved patients in decisions about their medicines during reviews and assessments. We found that staff had good knowledge of current and relevant best practice and professional guidance.

During the onsite assessment, we reviewed the emergency medicines and found robust systems in place to ensure stock is in date and ready to use. There was medical oxygen and a defibrillator on site and systems to ensure these were regularly checked and fit for use. The practice ensured medicines were stored safely and securely with access restricted to authorised staff.

The practice provided evidence of medicine management protocols. Adequate reviews were completed and guidelines were followed during patient contact. We reviewed the prescribing of a group of medicines that require monitoring including high-risk drugs such as methotrexate, lithium and azathioprine. The appropriate monitoring and clinical reviews prior to prescribing was evidenced, therefore no significant patient safety risk was identified. The practice also had a system for recording and acting on safety alerts. Although, at the time of the inspection, for those patients taking methotrexate, the practice was advised to record on the prescription, the day of the week in which the patient should take the medication as per MHRA drug safety update issued in September 2020. The practice were responsive in actioning this.

During our assessment, we conducted remote clinical searches which allowed us to review patient’s medical records to understand the practice's patient population, and ensure they were receiving safe and effective care. We found patients were being well managed and medicines were being appropriately prescribed and reviewed. The practice has searches in place to ensure appropriate medication usage. Pharmacists used templates to deliver high quality, structured medication reviews. The pharmacists had reviewed all medications and discussed compliance and side effects. They had taken action to improve patient care. For example, increased statin dose for patients whose cholesterol was not adequately controlled to reduce their cardiovascular disease risk.