The Care Quality Commission
  • Doctor
  • GP practice

Central Milton Keynes Medical Centre

Overall: Good read more about inspection ratings

68 Bradwell Common Boulevard, Bradwell Common, Milton Keynes, Buckinghamshire, MK13 8RN (01908) 605775

Provided and run by:
Central Milton Keynes Medical Centre

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Central Milton Keynes 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 Central Milton Keynes Medical Centre, you can give feedback on this service.

10 May 2019

During an annual regulatory review

We reviewed the information available to us about Central Milton Keynes Medical Centre on 10 May 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

13 June 2018

During a routine inspection

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.

12 February 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Central Milton Keynes Medical Practice on 12 February 2015. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing effective, caring, safe, well-led, and responsive services specifically for older people, those with long term conditions, patients with mental health problems and those whose circumstances make them vulnerable.

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

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
  • Risks to patients were assessed and well managed, with the exception of those relating to recruitment checks.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • 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 and patients, which it acted on.

We saw an area of outstanding practice:

  • The practice had employed a nurse who was based at the local probation office to carry out health checks. This work was a pilot project with Public Health England . The nurse carried out health checks on people on probation and offered advice and support on a variety of health promotion topics, such as sexual health and health eating. They advised patients how to register with a GP and if any abnormalities were found as a result of their health assessment the nurse would contact a practice with their permission to facilitate registration and ensure their health problem was dealt with. They would also contact other specialist services for sensitive issues in sexual health with the patient’s consent. The practice had carried out 96 health checks on these patients who were otherwise unlikely to have attended a GP for any health promotion services.

However there were areas of practice where the provider needs to make improvements.

Importantly the provider should:

  • Carry out an audit for infection control.
  • Review any out of date policies.
  • Ensure that audit cycles are completed to determine if actions had been effective.
  • Ensure that signage in the reception area advertising the availability of an interpreter is in other languages.
  • Make details of the complaints procedure available in the waiting area.
  • Carry out a DBS check on any reception staff who could be asked to chaperone.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice