We carried out a focused inspection at Boothstown Medical Centre on 5 November 2019. The announced inspection was part of our inspection programme. Following a Care Quality Commission annual regulatory review to check for changes in quality we inspected the key questions effective and well led. We used information from our previous inspection findings for the key questions safe, caring and responsive. The practice was previously inspected on 23 October 2017 and was rated good overall.
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.
- 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.
- 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.
- Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
We rated the practice as good for providing effective services and good for the population groups because:
- The practice routinely reviewed the effectiveness and appropriateness of the care it provided.
- It ensured that care and treatment was delivered according to evidence-based guidelines.
- The practice understood the needs of its population and tailored services in response to those needs.
We rated the practice as good for providing a well led service because:
- There was a clear leadership structure and staff felt supported by management.
- The practice had a number of policies and procedures to govern activity and held regular governance meetings.
- 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 person-centre care.
- The practice proactively sought feedback from staff and patients, which it acted on.
Whilst we found no breaches of regulations, the provider should:
- Continue to monitor the levels of exception reporting for the cardiovascular, high dependency and mental health and neurology indicators.
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