3 to 16 August 2022
During a routine inspection
We carried out an announced comprehensive at Victoria Medical Centre between the 3 -16 August 2022. Overall, the practice is rated as good.
Safe - good,
Effective - good,
Caring - good,
Responsive - good,
Well-led – good.
Why we carried out this inspection
This is the first comprehensive inspection of the Victoria Medical following the registration of the new provider.
How we carried out the inspection/review
This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.
This included
- Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
- Reviewing patient records to identify issues and clarify actions taken by the provider.
- Requesting evidence from the provider.
- A site visit.
Our findings
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.
- Information from the provider, patients, the public and other organisations.
We found that:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- The practice had system in place to ensure the safe management of infectious diseases.
- Patients received effective care and treatment that met their needs.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- Patients’ needs were assessed, and care and treatment was delivered in line with current legislation.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
- The practice learned and made improvements when things went wrong.
- The practice had a comprehensive programme of quality improvement activity and routinely reviewed the effectiveness and appropriateness of the care provided.
Whilst we found no breaches of regulations, the provider should:
- Continue to improve the uptake of childhood immunisations and cervical screening.
- Continue to improve on the consistency of patient medical reviews.
- Continue to improve on the monitoring of high-risk medicines.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services.