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Acorns PCT Medical Services (PCTMS) Practice

Provider North Essex Partnership University NHS Foundation Trust Type NHS Healthcare Organisation Region East Last inspected 11 Oct 2016

Overall rating: Inadequate  View full CQC report

Domain ratings

Five CQC key questions
Safe
Inadequate
Effective
Inadequate
Caring
Inadequate
Responsive
Inadequate
Well-led
Inadequate

Earlier inspection findings

pre-2024 framework · 6 must-do 3 should-do

Must-do actions (6)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 6
Must do
Safe
Assesstheriskstothehealthandsafetyofpatients anddoallthatisreasonablepossibletomitigateany suchrisksasfollows:receiveandcascadeMHRA alertsandidentifypatientswhomaybeatriskofthe alert;ensurechaperonesareDBScheckedorrisk assessedastowhetherthisisrequired;review patient’smedicinesinlinewithNICEguidelinesand theirownpolicy;ensurepatientsundertheageof18 whoareabletogivetheirconsentarereceiving appropriatecareandtreatment.
Regulation: Regulation 12 (Safe care and treatment)
⚠ The provider did not assess the risks to the health and safety of patients and do all that was reasonable possible to mitigate any such risks. This was in breach of regulation 12(1) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Must-do action 2 of 6
Must do
Safe
Ensureallpeopleprovidingcarehavethe qualifications,competence,skillsandexperienceto dososafelybyputtinginplacestringent pre-engagementchecksofGPlocumsandreview theseperiodicallytoensurethesearestillvalidinthe caseoflaterre-engagement
Regulation: Regulation 12 (Safe care and treatment)
⚠ The provider did not ensure that persons providing care or treatment had the qualifications, competence, skills and experience to do so safely. This was in breach of regulation 12(1) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Must-do action 3 of 6
Must do
Well-led
Putinplacesystemstomitigatetheriskstopatients byensuringthefollowing:aGPispresentatthe practiceeverydaywhenaGPsurgeryisscheduledto takeplace;allcliniciansraiseandpartakein significanteventreportingandrecordingand discussionsrelatingtoon-goingsafeguarding concerns;policiesareaccessibleandappropriatefor thepracticeandthatinfectioncontrolauditsare effectiveinidentifyingrisk;
Regulation: Regulation 17 (Good governance)
⚠ The provider had not established systems or processes to assess, monitor and improve the service or to assess and monitor the risks to patients. This was in breach of regulation 17(1) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Must-do action 4 of 6
Must do
Well-led
Putinplacesystemstoassessandmonitortherisks topatientsandothersforexamplebyreviewingand improvingthesystemforreceivingcorrespondence, thesecurityofthereceptionarea,storageareasand treatmentroomsandthearrangementsforGPsto overseetheworkcompletedbylocums;
Regulation: Regulation 17 (Good governance)
⚠ The provider had not established systems or processes to assess, monitor and improve the service or to assess and monitor the risks to patients. This was in breach of regulation 17(1) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Must-do action 5 of 6
Must do
Effective
Maintainanaccurate,completeand contemporaneouspatients’recordbyensuring
Regulation: Regulation 17 (Good governance)
⚠ The provider did not maintain an accurate, complete and contemporaneous patients’ record. This was in breach of regulation 17(1) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Must-do action 6 of 6
Must do
Safe
Ensurepersonsemployedareofgoodcharacterby carryingoutappropriatepre-employmentchecks.
Regulation: Regulation 19 (Fit and proper persons employed)
⚠ The registered person did not ensure that staff recruited were of good character as necessary pre-employment checks were not carried out. This was in breach of regulation 19(1) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Should-do actions (3)

Recommended improvements to enhance service quality.

Should-do action 1 of 3
Should do
Caring
Identifypatientswhoarecarersandofferthem appropriatesupport.
Should-do action 2 of 3
Should do
Effective
Encourageuptakeforbreastandbowelscreening programmes.
Should-do action 3 of 3
Should do
Effective
EnsureGPlocumsareawareofwheretofindshared careprotocols.

Location details

CQC ID: RRDY4
Local authority: Thurrock
Region: East

Inspection report

Type: Comprehensive inspection
Date: 11 October 2016
Rating: Inadequate
Actions: 6 must-do 3 should-do
AI-extracted 3 Jun 2026