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.
The inspection was a comprehensive inspection and therefore we looked at all the key questions: safe, effective, caring, responsive and well-led.
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 with the exception of the families, children and young people population group which we rated as requires improvement.
We found that:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
Whilst we found no breaches of regulations, the provider should:
- Continue to improve Quality and Outcomes Framework (QOF) performance in particular for long-term conditions to bring in line with local and national averages.
- Continue to improve childhood immunisation and cervical screening uptake to bring in line with relevant targets.
- Continue to identify carers to enable this group of patients to access the care and support they need. In addition, the location of the carers board should be more visible to the patients.
- Update recruitment and training documentation held by the practice so that it is always accessible and inclusive of the most recent information.
- Consider implementing a register to proactively review vulnerable patients.
- Strengthen links with health visitors to protect vulnerable children from harm.
- Review arrangements in relation to the system for monitoring paper prescriptions.
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