The Buxted Medical Centre Essay

The Buxted Medical Centre Essay

The Buxted Medical Centre is a three-doctor partnership organization located in the UK and offers facilities and services NHS patients. A significant project implemented by the hospital is the golden ticket for dementia, a new model in modern healthcare facilities.The Buxted Medical Centre Essay. The project aims at addressing the gaps and fragmentation in healthcare delivery for people with dementia.

The project is an innovative composite model utilized in the community and primary care. Its major goal is to meet the organizational needs in delivering quality care to patients with dementia. It aims at improving the quality of patient’s life for their entire journey as well as supporting them and their caregivers. I consider the model as a project as it aimed at meeting specific goals and objectives within the hospital, which included enhancing the quality of care specifically for patients with dementia. Its major characteristics were improving care delivery and supporting the lives of the patients as they went through their journey.. The Buxted Medical Centre Essay.

Various factors influence the invention of the project. A clinical review within the healthcare system identified several deficiencies in the management of dementia. These factors were fragmented support, access to information, and ill-equipped primary care in managing the disease. Based on these factors, the project was executed and helped the organization in developing an approach in managing the primary care of patients with dementia. The model provided procedures to ensure there was timely access to social and healthcare pathways and supported the delivery of attention to the patients and hence positively impacting the goals and objectives of the organization.

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Buxted’s new eco-friendly Medical Centre was officially opened on Saturday 19 May by Wealden MP Charles Hendry. And it is with thanks to various local firms that the project has been successfully completed. These include law firm Adams & Remers who dealt with the leases for the long-awaited £1.3 million medical centre.

Robin Illingworth, Senior Partner at Adams & Remers said: “It’s wonderful to see the Buxted Medical Centre being opened. It is our third new health centre project in recent years and we are delighted to have played a role in securing such a useful new community facility.

“Adams & Remers has been involved from the outset and assisted in securing a lease from developers Ryhurst who had in turn agreed Heads of Terms with the Ionides Trust, which owns the land. The terms of the lease agreement we negotiated with the developers ensured they were required to deliver a product of the highest possible quality.”

The new state-of-the-art health centre, which replaces the old surgery at April Cottage, now offers minor surgery and tissue viability services and its 9,000 patients can order prescriptions on line. Disabled access is excellent and there are a host of other improvements such as greatly increased numbers of parking spaces for visitors. The Buxted Medical Centre Essay.The centre has its own well-equipped dispensary and will continue to serve many local care and nursing homes, as well as providing free medication deliveries to hundreds of patients.

GP Partner Dr David Wright from the Buxted Medical Centre said: “We are thrilled that the work is now all complete and have been thoroughly enjoying welcoming the local community to take advantage of the new facilities. The last few years have seen an enormous expansion in our patient base and we now have first-class facilities from which to provide the best possible care.”

David continued: “The centre opened to the public on 23 April and it has all gone very smoothly. It is a big step up from the April Cottage Surgery – we are enjoying the extra space and working environment and feel it really enhances the experience patients have when they visit us.”

And it is not just the local population who appreciate the new facilities. In a nod to the needs of all creatures great and small, the rotunda in the roof of the Centre was purpose-built to provide a roost for pipistrelle and long eared bats.

Practice Manager Jackie Smith explains: “Patients often ask about the purpose of the rotunda. It is divided in half to accommodate the differing needs of our resident bats. The lofts can only be accessed by a licensed ecologist who enters through a hatch in the gents toilets that we have nicknamed the ‘bat hatch’. The bats are extremely quiet and outwardly there is absolutely no sign they are there.”

In addition to the penthouse facilities for the bats, another area of the Buxted Medical Centre site has been created to offer a natural habitat for common lizards and slow worms.

There’s more good news for patients who attend Buxted’s satellite at East Hoathly. Work is now well advanced on its new surgery building and it is expected to open in the summer.

We carried out an announced focused inspection at Buxted Medical Practice on 10 March 2020 as part of our inspection programme.The Buxted Medical Centre Essay.

The practice had previously been inspected in February 2015 when they were rated as good overall and requires improvement in safe. A subsequent focused inspection was conducted in July 2016 where they were rated as good. A further focused inspection was carried out in March 2018 in response to information received by the Care Quality Commission regarding patients’ test results and correspondence. At this time the practice was rated as requires improvement in safe. A further inspection in October 2018 found that breaches had been addressed and the practice was rated as good in safe.

We carried out an inspection of this service following our annual review of the information available to us including information provided by the practice. Our review indicated that there may have been a significant change to the quality of care provided since the last inspection.

This inspection looked at the following key questions:

Is the service safe?

Is the service effective?

Is the service well-led?

Because of the assurance received from our review of information we carried forward the ratings for the following questions:

Is the service caring? Good

Is the service responsive? Good

We based our judgement of the quality of care at this service on a combination of:

•what we found when we inspected

•information from our ongoing monitoring of data about services and

•information from the provider, patients, the public and other organisations.

We have rated this practice as inadequate overall and for safe and well-led services. We rated them as requires improvement for effective services. We rated the practice as requires improvement for all of the population groups because of the issues identified within the effective domain.

We rated the practice as inadequate for providing safe services because:

Patient specific directions not properly authorised.
Batch numbers for medicines used in minor surgery were not recorded in patient records.
The practice was an outlier for antibiotic prescribing and there was no clear plan to address this.
There was no process in place for monitoring of the non-medical prescribers’ prescribing practice. The Buxted Medical Centre Essay.
The practice did not have Atropine (for emergencies relating to coil insertions) and there was no risk assessment for this. However, following inspection we were informed that Atropine was stored separately from the other emergency medicines and routinely monitored. The practice did not provide us with evidence of this.
There were no risk assessments for the storage and use of medical gases, including nitrous oxide which was not stored securely. Not all staff were aware of where the emergency oxygen was stored.
Actions relating to the fire risk assessment had not been recorded.
There was no formal risk assessment for emergency medicines.
Actions and learning from significant events were not clearly identified or completed.
Actions relating to safety alerts were not clearly recorded and it was not clear how alert guidance was incorporated into practice.

We rated the practice as inadequate for providing well-led services because:

The overall governance arrangements were ineffective.
The practice did not have clear and effective processes for identifying and managing risks and identified issues.
The practice did not always act on appropriate and accurate information.
There were inconsistent systems and processes for learning and continuous improvement.

We rated the practice as requires improvement for effective services because:

There was a significant proportion of staff who had not completed training required by the provider.
The practice did not have a clear plan for quality improvement activity.

The areas where the provider must make improvements are:

Ensure that care and treatment is provided in a safe way.
Ensure sufficient numbers of suitably qualified, competent, skilled and experienced persons are deployed to meet the fundamental standards of care and treatment.
Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

The provider should:

Continue to improve cervical screening rates.
Consider developing a programme of clinical audit and service evaluation. The Buxted Medical Centre Essay.
Review how batch numbers for medicines used in minor surgery are recorded.
Improve antibiotic prescribing practices.

I am placing this service in special measures. Services placed in special measures will be inspected again within six months. If insufficient improvements have been made such that there remains a rating of inadequate for any population group, key question or overall, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating the service. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve.

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The service will be kept under review and if needed could be escalated to urgent enforcement action. Where necessary, another inspection will be conducted within a further six months, and if there is not enough improvement, we will move to close the service by adopting our proposal to remove this location or cancel the provider’s registration.

Special measures will give people who use the service the reassurance that the care they get should improve.

We are mindful of the impact of the Covid-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

The Buxted Medical Centre Essay