- GP practice
Barbourne Health Centre
Important:
The provider of this service changed - see old profile
All Inspections
26 May 2022
During a routine inspection
We carried out an announced inspection at Barbourne Health Centre, Worcester on 25 and 26 May 2022. Overall, the practice is rated as Good.
Safe - Good
Effective – Good
Well-led – Good
Why we carried out this inspection
This inspection included a comprehensive review of information and a site visit where we inspected safe, effective and well-led care. During our inspection we looked at one area of providing responsive care: Access to the service, this was not rated, and we did not identify any concerns with regards to access to the service.
How we carried out the inspection
Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently. Therefore, as part of this inspection we completed clinical searches on the practice’s patient records system and discussed the findings with the provider. This was with consent from the provider and in line with all data protection and information governance requirements.
The inspection also included:
- Requesting and reviewing evidence and information from the service
- A site visit
- Conducting staff interviews
- Reviewing patient records to identify issues and clarify actions taken by the provider
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 service, patients, the public and other organisations.
We have rated this practice as Good overall
We found that:
- The practice had clear systems, practices and processes to keep people safe and safeguarded from abuse. There was evidence to support appropriate and safe use of medicines and the practice routinely reviewed the effectiveness and appropriateness of the care provided.
- There was evidence of collaboration, team-working and support across all functions and a common focus on improving the quality and sustainability of care and people’s experiences.
- As part of our inspection process members of the management team described how the practice had undergone some changes and some challenges over the years. The evidence and staff feedback we gathered highlighted that the practice was moving towards a period of settling into some positive changes; this included the successful recruitment of two GPs who were due to join the practice in the summer of 2022.
- Practice leaders were experienced and demonstrated a clear understanding of practice challenges. Staff reported that leaders were visible and approachable. Feedback from both staff and patients gathered during the inspection was positive with regards to the practice team, as well as the delivery of services and patient care.
We saw an area of outstanding practice:
- We saw that the practice effectively utilised their clinical team in ways to help meet demand. Leaders were experienced and demonstrated a clear understanding of practice challenges. To tackle some of these challenges they utilised and upskilled their clinical team in ways to help meet demand. This included areas such as prescribing and minor ailment care.
Whilst we found no breaches of regulations, the provider should:
- Continue patient engagement and encouragement to attend appointments for cancer screening, specifically for cervical smear appointments and breast cancer screening.
- Formalise the current supervision arrangements across the clinical team.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care
13 Dec 2018
During a routine inspection
We carried out an announced comprehensive inspection at Barbourne Health Centre on 13 December 2018 as part of our inspection programme.
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 good overall and good for all population groups.
We found that:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- The practice reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines and best practice.
- There were comprehensive policies and procedures to support best practice.
- There was an open and transparent approach to safety and a system in place for recording, reporting and learning from significant events. The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
- There was clearly defined and embedded systems, processes and practices in place to keep people safe and safeguarded from abuse and for identifying and mitigating risks of health and safety.
- There were clear responsibilities, roles and systems of accountability to support effective governance.
- Patients received effective care and treatment that met their needs.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice
22 April 2015
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out a comprehensive inspection of Barbourne Health Centre on 22 April 2015. We have rated this practice overall as good.
Specifically, we found the practice to be good for providing safe, effective, caring, responsive and well-led services. It was also good for providing services for the older people, people with long-term conditions, families, children and young people, working age people (including those recently retired and students), people living in vulnerable circumstances, and people experiencing poor mental health (including people with dementia).
Our key findings were as follows:
- Patients were kept safe. There were arrangements in place for staff to report and learn from key safety risks. The practice had a system for reporting, recording and monitoring significant events over time.
- The practice was proactive in helping people with long term conditions to manage their health and had arrangements in place to make sure their health was monitored regularly.
- Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. Opportunities for learning from internal and external incidents were taken.
- The practice was clean and hygienic and had robust arrangements for reducing the risks from healthcare associated infections.
- Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment. Information was provided to help patients understand the care available to them.
- The practice had good facilities and was well equipped to treat patients and meet their needs. Information about how to complain was available and easy to understand.
However, there were also areas of practice where the provider should make improvements. The provider should:
- Risk assessments should be carried out to determine whether identity details should be obtained for staff employed by the practice before it was registered with the Care Quality Commission (CQC).
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice