Grange Farm Medical Centre ranked as 'requires improvement' in CQC rating

A medical centre in Bilborough says it is "actively addressing the challenges identified" following a recent inspection from the Care Quality Commission. The Grange Farm Medical Centre was visited on December 12, 2023, by the CQC, who graded it as "requires improvement" after inspectors found changes were needed with regard to safety, effectiveness and leadership.

During the visit the inspector found that there were concerns over staffing levels at the practice, which is run by Nottingham City GP Alliance (NCGPA). The report also found that the management team was not adequately supported which leads to the manager being overworked, and there are gaps in mandatory training received by employees.

However, it has been confirmed by NCGPA that a number of improvements have already been made following the visit, and the centre is working to implement other necessary changes.

The report stated: "We were informed that non-medical prescribers, for example, nurse practitioners and clinical pharmacists were not being adequately supervised and monitored and at the time of our inspection there was no formal supervision plan in place.

"We were informed that the GP Clinical Lead at the practice only worked a few days a week and would soon be leaving the practice. Childhood Immunisation and cervical cytology targets were not achieved."

The report also noted that whilst the systems and processes in place were not as effective as they could be, the centre has been deemed "good" for its care and how responsive it is.

The inspector stated: "Staff treated patients with kindness, respect and compassion. Feedback from patients was positive about the way staff treated people."

Regarding the report, Dr Jonathan Harte, Medical director at NCGPA, said: "We appreciate the CQC findings are disappointing and some people registered at the practice may be concerned. Ensuring the safety of our patients is of utmost importance and we are committed to providing the highest standards of care.

"It’s important to note that during their inspection the CQC team acknowledged the dedication of the Grange Farm Medical Centre team and recognised the progress that had been made. There was no suggestion that the practice is unsafe."

He continued: "The assessment took place in December 2023 and we were already actively addressing the challenges identified. We developed a comprehensive plan for improving leadership and safety, which includes enhanced supervision of our staff. We have also appointed a permanent practice manager and enlisted the support of an experienced interim clinical lead as we work towards securing a permanent replacement.

"We’re proud that the dedication of our staff has been recognised with a good rating in the caring and responsive domains. NCGPA would like to extend our gratitude to the team for their unwavering commitment, especially considering the current challenges faced within the NHS.

"Moving forward, we are collaborating closely with our partners at Nottingham and Nottinghamshire LMC and the ICB to implement the necessary changes and ensure that the local community continues to receive excellent care and treatment in a safe environment.”