We carried out a review of the data available to us about Derwent Crescent 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 Derwent Crescent Medical Centre, you can give feedback on this service.
We carried out a desk review at Derwent Crescent Medical Centre on 30 June 2021. Overall, the practice is rated as Good.
Safe - Good
Following our previous inspection on 2 April 2019, the practice was rated Good overall and for all key questions but was rated as Requires Improvement for providing Safe services.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Derwent Crescent Medical Centre on our website at www.cqc.org.uk
Why we carried out this review
This review was a review of information without undertaking a site visit inspection to follow up on a breach of Regulation 12 Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At the last inspection we found:
How we carried out the review
Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our reviews differently.
This review was carried out without visiting the location and by requesting documentary evidence from the provider.
We found that:
The practice had made the necessary improvements to ensure that care and treatment was provided in a safe way:
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care
We carried out an announced comprehensive inspection at Derwent Crescent Medical Centre on 2 April 2019 as part of our inspection programme.
We based our judgement of the quality of care at this service on a combination of:
•what we found when we inspected
•information from our ongoing monitoring of data about services and
•information from the provider, patients, the public and other organisations.
We have rated this practice as good overall and good for all population groups.
We found that:
•Patients received effective care and treatment that met their needs.
•Staff dealt with patients with kindness and respect and involved them in decisions about their care.
•The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
•The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
We rated the practice as requires improvement for providing safe services because:
•The practice did not use purple topped bins for the disposal of medicine waste containing hormones.
•Blank prescription stationery was stored in locked cupboards however, the key to the cupboard was accessible to all staff. Access should be restricted where possible. Receipt of blank prescription stationery was not always recorded.
•Registered nurses worked to patient group directions to administer vaccinations. The patient group directions were up to date and the lead GP had given clinical authorisation for the nurses to work to the directions. The Healthcare Assistant administered flu vaccinations but we were not assured that a prescriber completed the correct authorisation prior to vaccinations being administered. Nurses sometimes gave other prescription only medicines (for example contraceptive long acting injection) without an appropriate authorisation being in place.
•The Clinical Pharmacist monitored the prescribing of high dose opiates. However, our inspection found examples of prescriptions for controlled drugs which were for more than 30 days’ supply.
The areas where the provider must make improvements are:
• Ensure that care and treatment is provided in a safe way.
(Please see the specific details on action required at the end of this report)
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP Chief Inspector of Primary Medical Services and Integrated Care
We carried out an announced comprehensive inspection at Derwent Medical Centre on the 16th March 2016. Overall the practice is rated as Good.
Our key findings across all the areas we inspected were as follows:
Chief Inspector of General Practice
When we inspected again on 20 March 2014, we saw that an infection control policy had been introduced and that the provider was undertaking regular infection control audits. We also saw that staff had attended infection control training. These measures meant that patients were protected from the risk of infection because appropriate guidance had been followed.
Patients spoken with confirmed that they had been able to make an appointment to see their GP or nurse without any problems.
Care and treatment was planned and delivered in a way that was intended to ensure patient's safety and welfare. Assessments of patients' needs were undertaken and recorded. A patient told us "they have been caring and sensitive. They are very empathetic and get to know their patients.'
Medicines were prescribed appropriately. A patient told us "the doctor explains the medication along with the possible side effects" and "they check it wouldn't interfere with my other medications."
Patients we spoke with told us that the practice was clean and tidy. One patient described the practice as 'a nice environment". There had been no recent infection control audits or risk assessments for over a year. This meant that there was no effective system in place to assess the risk of and to prevent, detect and control the spread of a health care associated infection.