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A Stourbridge GP surgery has lost its top rating and been ordered to make improvements after an inspection by the health and care watchdog found patients were not receiving timely care and treatment.
Lion Health, in Lowndes Road, was previously rated excellent, but Healthcare Quality Commission inspectors gave a harsh verdict after a visit on November 23, rating it as requiring improvement. did.
The practice director of the surgery, which has 28,246 patients, expressed “disappointment” at the lower score and said steps had already been taken to address the concerns raised.
One of the tests that examines whether mega-surgeries are meeting people’s needs was given the lowest rating of “inadequate.” Meanwhile, the category that examines whether services are well-directed was given a “requires improvement” rating, lowering the overall rating for the practice from the highest to second-last.
The inspection report released today (Thursday 14 March) highlights a number of issues.
Inspectors find patients are unable to access care and treatment in a timely manner and action points are not always planned or completed despite health and safety risk assessments being completed. I discovered.
Infection prevention and control audit activities are not necessarily performed within a specific time period, and drug reviews are not always recorded as soon as they are completed.
The prescribing abilities of non-medical prescribers are not always audited or reviewed, and safety alert actions are not always implemented within appropriate timescales or shared effectively with the team.
The report also found that patients with long-term conditions were not always able to have their medications reviewed or receive medical check-ups in a timely manner.
Additionally, the rate of cervical screening for eligible patients is slightly below national requirements, copies of “do not attempt resuscitation” (DNACPR) forms are not kept in patient records, and decisions are No policies or risk assessments were applied.
On the positive side, the practice has been given a ‘good’ rating in the CQC inspection category, which indicates whether a practice is safe and effective. This was carried over from the 2018 vehicle inspection, but it has also been praised for being considerate.
According to the report, inspectors noted that staff had the information they needed to provide safe care and treatment and that the practice learned and improved when problems occurred. .
Inspectors also demonstrate that staff are consistently proactive in working together to provide effective care and treatment, collaborating with other organizations, and supporting patients to live healthier lives. I also discovered that.
As a result of the inspection, the CQC found one regulatory breach and ordered Lion Health to establish effective systems and processes to ensure good governance in accordance with essential standards of care.
The CQC also told surgeries that they should take steps to ensure drug reviews are completed and concurrent review notes are retained.
Lion Health also said it should take steps to increase cervical cancer screening uptake among eligible patients and ensure risk assessments are conducted for copies of DNACPR forms that are not kept on-site. It is being said. And we ensure that parents have the freedom to speak out.
Wayne Gardner, practice manager at Lion Health, said: The quality and standard of care we provide to our patients is very important to us.
“Following the latest inspection completed in November, we have already taken steps to address the concerns raised, including by responding to patients who call in and increasing the level of access to appointments. , we have already seen significant improvements in several areas. These improvements are reflected in recent patient feedback.
“We recognize that there is still room for improvement and work is underway to further improve our capacity to meet practitioner demand. If any of our patients have any concerns. Please contact the clinic and we will be happy to discuss this with you.”
The Black Country Integrated Care Commission said it was aware of the report and was working with Lion Health and CQC inspectors to “fully understand the findings”.
Saab Basi, director of primary care at the NHS Black Country Integrated Care Board, added:
“Our quality team has already visited clinics in recent weeks and action plans are being developed to ensure improvements are made for the benefit of patients.”
The full report is available on the CQC website.
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