Tettenhall Medical Practice

Updated 27 February 2018

Tettenhall Medical Practice is registered with the Care Quality Commission (CQC) as a partnership and provides services over two sites within the Wolverhampton area. The main practice is based at Lower Green Health Centre and the branch is located at Wood Road Health Centre. For this inspection a visit was made to the main practice site. The practice and branch have good transport links for patients. The practice is a single storey building providing level access for patients and all areas are easily accessible by patients with mobility difficulties, patients who use a wheelchair and families with pushchairs or prams.

The practice has a General Medical Services contract with NHS England to provide medical services to approximately 12,000 patients over the two sites. It provides Directed Enhanced Services, such as childhood vaccinations and immunisations, minor surgery and extended hours.

The practice team consists of five GP partners, four male and one female. All the GPs work nine sessions each per week. Other clinical staff include three practice nurses, one works full time and the other two part time and a health care assistant works part time. Clinical staff are supported by a practice manager, an assistant practice manager and 17 administration / receptionist staff. In total there are 28 staff employed either full or part time hours to meet the needs of patients across both sites. The practice also uses a regular female locum GP to support the practice and meet the needs of patients when the female GP is on holiday.

The main practice, Tettenhall Medical Practice is open Monday 8am to 8pm and Tuesday to Friday between 8am and 6.30pm. The branch is open Monday, Tuesday and Thursday 8am to 6.30pm and Wednesday and Friday 8am to 1pm. Appointments at the main practice are offered Monday to Friday 8.30am to 10.30am, 3.30pm to 7.30pm Monday and 3.30pm to 5.30pm Tuesday to Friday. Appointments at the branch site are available between 8.30am to 10.30am Monday to Friday and 3.30pm to 5.30pm Monday, Tuesday and Thursday. The branch practice is closed Wednesday and Friday afternoons. The practice offers pre-booked extended hours appointments on Monday Evenings at the main practice. The practice does not provide an out-of-hours service to its patients but has alternative arrangements for patients to be seen when the practice is closed. Patients are directed to the out of hours service Vocare via the NHS 111 service.

Additional information about the practice is available on their website www.tettenhallmedicalpractice.nhs.uk

Updated 27 February 2018

Letter from the Chief Inspector of General Practice

We previously carried out an announced comprehensive inspection at Tettenhall Medical practice on 9 May 2017. The overall rating for the practice was requires improvement for providing safe and well-led services. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Tettenhall Medical Practice on our website at www.cqc.org.uk.

This inspection was an announced focused inspection carried out on 20 December 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified at our previous inspection on 9 May 2017.

Care and treatment was not being provided in a safe way to patients in particular:

• Evidence that national guidelines for children who do not attend for hospital events were followed at all times was not available.
• Systems were not in place for the proper and safe management of medicines to ensure the safe management of high risk medicines; blank computer prescription forms and Patient Group Directions (PGDs).
• The minutes of meetings were not sufficiently detailed to demonstrate that any changes made following significant events were appropriate and prevented further occurrences.

Overall the practice is now rated as Good.

Our key findings were as follows:

• Effective systems had been introduced to monitor and follow up children who did not attend for hospital events.
• Employment checks had been followed up and completed for all staff employed and the required information was available in staff files.
• Staff training needs had been reviewed to ensure all staff had received up to date training related to health and safety such as fire safety and infection control.
• Systems were put in place for the proper and safe management of medicines.
• Patient Group Directions (PGDs) were updated at the time of the inspection and confirmation received that all were signed by a GP and the practice nurses.
• Formal systems were implemented for monitoring the security of blank computer prescription forms.
• The documentation of significant events in minutes of meetings had improved.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Updated 27 February 2018

Updated 27 February 2018

Updated 27 February 2018

Updated 27 February 2018

Updated 27 February 2018

Updated 27 February 2018