Archived: Rainworth Health Centre Also known as Rainworth Surgery

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Rainworth Health Centre on 23 February 2015. Overall the practice is rated as requires improvement.

Specifically, we found the practice to be good for providing safe, caring and responsive services. It required improvement for providing effective and well led services. The concerns which led to these ratings apply to everyone using the practice, therefore the practice is rated as requires improvement for providing services for older people, people with long term conditions, families, children and young people, working aged people (including those recently retired and students), people whose circumstances make them vulnerable and those people who were experiencing poor mental health (including people with dementia).

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

• Risks to patients were assessed and processes were in place to manage these.
• Patients’ needs were assessed but limited clinical capacity meant the practice needed to improve clinical outcomes for patients. They anticipated this would be addressed when the practice merged. This has taken place since our inspection and the practice is owned by a new provider.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Information about services and how to complain was available and easy to understand.
• 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.
• There was a clear vision for the future, with plans to develop and improve the service for the benefit of the patients.

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

The provider should:

• Ensure records of incidents and accidents that have occurred are kept.
• Ensure that staff records demonstrate that all relevant staff are up to date with their Hepatitis B vaccinations, and received a five yearly booster, where required.
• Improve performance against Quality Outcomes Framework (QOF) targets which are below the CCG and national average to ensure effective patient care. (QOF is a voluntary incentive scheme for GP practices in the UK. The scheme financially rewards practices for managing some of the most common long-term conditions and for the implementation of preventative measures).

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice