Archived: Camphill Health Centre

We carried out an announced comprehensive inspection at Camphill Health Centre on 26 October 2022. Overall, the practice is rated as requires improvement.

Safe - good

Effective - good

Caring - good

Responsive - requires improvement

Well-led - requires improvement

Following our previous inspection on 25 April 2017, the practice was rated good overall and for the key questions are services safe, effective, responsive and well led. They were rated as requires improvement for providing caring services. The April 2017 inspection was carried out under a different provider.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Camphill Health Centre on our website at www.cqc.org.uk

Why we carried out this inspection

We carried out this inspection as there is a new provider registration. This was a comprehensive inspection and looked at the key questions inspected, are services safe, effective, caring, responsive and well-led.

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:

• Conducting staff interviews using video conferencing.
• 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 short 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 and
• information from the provider, patients, the public and other organisations.

We found that:

• The practice had clear systems, practices and processes to keep people safe and safeguarded from abuse. Patients received effective care and treatment that met their needs.
• Patients received effective care and treatment that met their needs. Processes were in place to monitor patients’ health in relation to the use of medicines including high risk medicines. However, we found some patients were overdue a review.
• Safety alerts were received by the practice. A review of the patient record system found that actions had not always been taken for the alerts received. Particularly with documenting discussions with patients regarding the side effects of medicines.
• There was a lack of oversight to ensure policies and procedures regarding medicines management and effective management of patients was applied.
• The monitoring of patients with poorly controlled diabetes was not consistent.
• The practice were below the minimum 90% target for the uptake of childhood immunisations for four of the five indicators. However, the data related to a time prior to the current provider managing the practice. Actions had been taken to improve the uptake.
• The coverage for cervical screening was below the UK Health and Security target of 80%. However, the published data for cervical screening covers a period of time prior to the provider managing the practice. The data covers eligible persons who have had screening within the specified period, for example, either the previous 3.5 or 5.5 years.
• Staff dealt with patients with kindness and respect and involved them in decisions about their care. Feedback from patients was generally positive regarding the practice. However, the National GP Patient survey published in July 2022 showed some indicators for satisfaction with patient care were lower than the local and national averages.
• The National GP Patient survey published in July 2022 showed patient satisfaction with how they could access the practice and the appointments available was below the local and national averages. Actions had been taken by the practice to make improvements. However, at the time of our inspection, the impact of the changes made had not been assessed.
• We found areas of good practice in the leadership of the service. However, oversight of the systems in place for good governance and management were not always effective.
• Significant events and complaints were well managed with learning shared within the practice and the provider organisation.
• Feedback from staff was positive with comments that they felt supported by the practice management and GP.

We found a breach of regulations. The provider must:

• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

The areas where the provider should make improvements are:

• Continue to take measures to improve the uptake of childhood immunisations and cervical screening.
• Continue to take actions to improve patient satisfaction.

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