This practice is rated as Good overall. (Previous inspection 02/2015 – Good)
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? – Good
We carried out an announced comprehensive inspection at Central Milton Keynes Medical Centre on 13 June 2018. This inspection was carried out under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service and to provide a rating for the service under the Care Act 2014.
At this inspection we found:
- The practice had systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
- However, we found gaps in their safety and risk management systems, in particular, risks associated with staff performing chaperone duties without an appropriate background check had not been assessed. The practice undertook a risk assessment of staff performing these duties which was submitted to us following our inspection.
- The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- The majority of patients found the appointment system easy to use and reported that they were able to access care when they needed it.
- 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.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
However, there were areas where the provider should make improvements:
- Undertake regular review and analysis of significant events and complaints to identify any trends and areas of risk or improvement.
- Follow up on actions identified in the legionella risk assessment.
- Continue to consolidate staff immunity records to ensure that the practice is operating in accordance with Public Health England guidance.
- Maintain a log of actions taken in response to all safety alerts received.
- Continue with efforts to encourage uptake of cancer screening services, in particular cervical screening.
- Develop a programme of regular clinical audit to ensure efficacy and improve outcomes for patients.
- Continue to identify and support carers in their population.
- Regularly review policies and procedures to ensure they remain fit for purpose.
- Consider formalising the practice’s strategy in a documented business plan.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.