Lees Medical Practice told to improve by Care Quality Commission

The GP’s surgery was told to improve after an examination by the healthcare watchdog.

The Lees Medical Practice on Athens Way in Lees was rated ‘Needs Improvement’ by the Care Quality Commission (CQC) in all five areas reviewed – whether the practice is safe, effective, caring, responsive and well-led.

Inspectors said staff did not always treat patients with kindness, respect and empathy — with negative feedback from patients about how they were treated.

This practice was given advance notice of the inspection, which took place in September.

The inspectors said the practice “did not always provide care in a way that kept patients safe and protected them from avoidable harm”, as the practice was found to breach regulations regarding safe care and good governance.

The CQC found that systems for contacting patients who did not show up for their appointments were ineffective.

In addition, the inspectors found that the GP did not review patient records in a timely manner, and that some patients taking some high-risk medications were not properly monitored, in violation of regulations.

In the report, the inspectors detailed how the clinic’s lead GPs did not know where the referral records were kept – and found that some referrals were not separately coded when they should have been.

People with severe mental illness were found to not always be referred to appropriate services, with ongoing needs not being fully assessed.

Furthermore, inspectors said that staff did not always involve patients in decisions about their care.

The Inspectors told the practice that it needed to conduct a more robust review of patients in the child protection registry, that it should review its policies for managing safety alerts, and that the practice needed to carry out a clinical audit to monitor their standards.

However, inspectors said the clinic’s health and safety procedures were well managed, with appropriate hygiene standards

In addition, the inspectors said that the personnel recruitment procedures are in line with good practice.

Child immunization rates were found to be just below WHO-recommended levels—81 percent of five-year-olds had received two doses of the measles-mumps-rubella (MMR) vaccine—and below the 90 percent minimum and WHO target of 95 percent—but inspectors said that This practice was then presented with evidence to show improved rates.

Cervical screenings were also found to fall well short of the target, with only 62 per cent of those eligible being adequately screened, well short of the target of 80 per cent.

Lees Medical Practice has been contacted for comment.

The full report can be found on the CQC website.


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