We carried out an announced focused inspection at Dr’s H.C. Ash, K.A. Harris & J.E. Hirst on 8 October 2019. The practice was previously inspected by the Care Quality Commission in November 2015, when it received a rating of Good overall, and for all population groups.
We carried out an inspection of this service due to the length of time since the last inspection. Following our review of the information available to us, including information provided by the practice, we focused our inspection on the following key questions: are services effective and are services well-led.
Because of the assurance received from our review of information we carried forward the ratings for the following key questions: are services safe, are services caring and are services responsive.
We based our judgement on 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 provider, patients, the public and other organisations.
We have rated this practice as good overall and good for all population groups.
We found that:
- There was evidence of quality improvement, which included a comprehensive programme of audit and performance management.
- Patients received structured reviews of their care and treatment and received advice and support to manage their symptoms. Care planning was detailed and considered the specific needs of patients. The practice ensured that care and treatment was delivered according to evidence based guidelines.
- The practice was above the national target for the uptake of childhood immunisations and cancer screening programmes.
- The practice had implemented succession planning measures. We saw that processes were in place to develop and support both clinical and non-clinical staff to develop their roles.
- 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. Learning from incidents was shared with others to prevent recurrence.
- Services had been developed to meet the specific needs of their population.
- The practice worked with others at a locality level to plan and develop services.
- Staff told us they felt supported and valued by the leadership team at the practice.
- The Patient Participation Group was active and worked closely with the practice management team.
Whilst we found no breaches of regulations, the provider should:
- Review and seek to improve performance in relation to cancer two week wait performance.
Details of our findings and the evidence supporting our ratings are set out in the evidence table.
Dr Rosie Benneyworth BM BS MDedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care