10 July 2019
During a routine inspection
This service is rated as Good overall.
For this inspection the key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? – Good
We carried out an announced comprehensive inspection at Blossoms Healthcare LLP - Birmingham under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008 and to rate the service.
Blossoms Healthcare LLP - Birmingham is a private GP service, providing a broad range of health services including GP consultations, health and wellbeing screening and occupational health services. The building, management team, staffing and governance structure are shared with Roodlane Medical Limited – Cornwall Street which is also registered with CQC. We therefore inspected both services, producing separate reports, both of which reflect the shared services.
This service is registered with CQC under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. There are some general exemptions from regulation by CQC which relate to particular types of service and these are set out in Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At Blossoms Healthcare LLP - Birmingham, services are also provided to patients under arrangements made by their employer or an insurance company with whom the service user holds a policy (other than a standard health insurance policy). These types of arrangements are exempt by law from CQC regulation. Therefore, at Blossoms Healthcare LLP - Birmingham, we were only able to inspect the services which are not arranged for patients by their employers or an insurance company with whom the patient holds a policy (other than a standard health insurance policy).
The lead GP is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
We received 16 completed CQC comment cards from service users. All the comments were positive about the service and staff. There were no appointments booked on the day of the inspection and therefore we were unable to speak with any patients.
Our key findings were:
- The service reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence based guidelines.
- The service took account of patient needs and preferences. Patients could access the service in a timely manner.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care, feedback we received from patients was positive.
- There were systems and processes in place to keep people safe such as safeguarding procedures, effective recruitment procedures and infection prevention and control but not all risks were fully considered or managed.
- There were systems in place to ensure good governance but some areas lacked effective oversight.
Although we found no breaches in regulations, the provider SHOULD;
- Review governance systems to ensure effective oversight. For example, risk management.
Dr Rosie Benneyworth BM BS BMedSci MRCGPChief Inspector of Primary Medical Services and Integrated Care