At our previous inspection of this service in August 2013 we identified concerns that the provider had not always planned care and treatment in a way that ensured patients safety and welfare. Patients were not cared for, or supported by suitably skilled and experienced staff. The staff had not been supported to deliver care and treatment safely and to an appropriate standard.At that inspection we also found the provider did not have an effective system to assess and monitor the quality of the service that patients received and comments and complaints patients made were not always responded to appropriately. We asked the provider to take action to address these areas of concern.
We carried out this inspection to confirm the provider had taken the necessary action to address the areas of concern. The inspection was carried out on 13 and 23 June 2014. We spoke with two practice managers, a GP who was the registered manager, two locum practice nurses, four receptionists and two healthcare professionals. We also spoke with three patients who were satisfied with the care they received at the practice. One patient we spoke with told us, 'I have known the GP for over 30 years, I am happy to travel across Nottingham as GP is so good but parking is a problem.'
On this inspection we found that the provider had taken some steps to carry out the required improvements since our last visit, however we found that they were still not meeting the required standards to ensure that patients' care and treatment was planned and delivered safely. The management of processes in place to adequately protect patients at the practice was still unsatisfactory and this included how staff were recruited, trained and supported, how complaints were managed and how systems were used to assess quality and reduce risks to patients.