Source · CQC inspection
St Clements PCT Medical Services (PCTMS) Practice
Provider North Essex Partnership University NHS Foundation Trust
Type NHS Healthcare Organisation
Region East
Last inspected 25 Jan 2017
Overall rating: Requires Improvement View full CQC report
Domain ratings
Safe
Requires Improvement
Effective
Requires Improvement
Caring
Requires Improvement
Responsive
Requires Improvement
Well-led
Requires Improvement
Earlier inspection findings
Must-do actions (5)
Must-do action 1 of 5
Must do
Effective
Ensure the dissemination and adherence to NICE guidance.
Must-do action 2 of 5
Must do
Safe
Conduct reviews of high risk medicines in line with guidance, explaining potential risks to patients.
Must-do action 3 of 5
Must do
Well-led
Embed accessible and sustainable governance systems and processes to identify and implement quality improvements, including clinical and managerial oversight.
Must-do action 4 of 5
Must do
Effective
Ensure the accurate coding of patient records and ensure that care plans are completed for patients on the admission avoidance register.
Must-do action 5 of 5
Must do
Responsive
Respond to patient feedback and use it to inform changes to the service.
Should-do actions (5)
Should-do action 1 of 5
Should do
Safe
Review and action medicines safety alerts from prior to January 2015.
Should-do action 2 of 5
Should do
Safe
Improve the analysis of risks and evidencing of actions taken to mitigate a reoccurrence.
Should-do action 3 of 5
Should do
Effective
Monitor patient’s attendance for national screening programmes and improve uptake.
Should-do action 4 of 5
Should do
Caring
Improve the identification of patients who are carers.
Should-do action 5 of 5
Should do
Well-led
Maintain accessible clinical and administrative leadership.