The Care Quality Commission
  • Doctor
  • GP practice

The Nuffield Practice

Overall: Good read more about inspection ratings

Welch Way, Witney, OX28 6JQ (01993) 703641

Provided and run by:
Witney General Practitioners Ltd

Important: The provider of this service changed. See old profile

All Inspections

During an assessment under our new approach

The Nuffield Practice is a NHS GP practice which provides primary care services to patients in Witney. We carried out an announced assessment of one quality statement, Equity of Access, under the key question of Responsive on 25 March 2024. We carried out the assessment as part of our work to understand how practices are working to try to meet peoples demands for access and to better understand the experiences of people who use services and providers. Overall, the practice is rated as good overall and the key question responsive continues to be rated as providing a good service. We recognise the work that GP practices have been engaged in to continue to provide safe, quality care to the people they serve. We know colleagues are doing this while demand for general practice remains exceptionally high, with more appointments being provided than ever. In this challenging context, access to general practice remains a concern for people. These assessments of the quality statement Equity in Access in the Responsive key question includes looking at what practices are doing innovatively to improve patient access to primary care and sharing this information to drive improvement. Leaders understood the challenges to patient access and used patient feedback and other information to monitor and improve access in a way that met patient needs.

2 September 2021

During a routine inspection

We carried out an announced focused follow up inspection at The Nuffield Practice on 2 September 2021 to identify if improvements had been made following our previous inspection in November 2019. The 2019 inspection led to a rating of requires improvement and found breaches of regulation. We issued the provider with requirement notices in order for the service to make improvements.

This inspection was to provide a new rating to the service and ensure the breaches of regulation had been met.

Ratings:

Safe - Good

Effective - Good

Well-led - Good

The full reports for previous inspections can be found by selecting the ‘all reports’ link for The Nuffield Practice on our website at www.cqc.org.uk

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.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements

The inspection included:

  • Conducting staff interviews using video conferencing
  • Completing clinical searches on the practice’s patient records system and discussing findings with the provider
  • Reviewing patient records to identify issues and clarify actions taken by the provider
  • Requesting evidence from the provider
  • A site visit at the practice.

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 and
  • information from the provider, patients, the public and other organisations.

We have rated this practice as good overall and for all population groups.

We found that:

  • Safety systems and processes were operated effectively to ensure patients received safe care and treatment.
  • Patients’ needs were assessed and their care planned and delivered in line with national guidance.
  • Staff were supported and trained to ensure they could access guidance and had the skills and knowledge required to deliver effective and safe care.
  • Patients’ rights were protected.
  • Patients reported being well supported overall in the feedback we received and reviewed.
  • There were systems to consider patients’ views in relation to the delivery and design of the service.
  • Governance processes were clear and had improved since the previous inspection in November 2019.
  • The monitoring of staff training had improved.
  • There was a process for staff to receive role specific inductions.

Whilst we found no breaches of regulations, the provider should:

  • Complete the full roll-out of training in female genital mutilation and child sexual exploitation to eligible staff.

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

12/11/2019

During a routine inspection

We carried out an inspection at The Nuffield Practice as part of our programme of inspections of providers who had either newly registered or changed their registration in the last 12 months. This was a comprehensive inspection because The Nuffield Practice had registered as a limited company.

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.

Overall the practice is rated as Requires Improvement

This rating arises because t he key questions at this inspection are rated as follows:

Are services safe? – Requires improvement

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Requires improvement

We found that:

  • Patients received effective care and treatment that met their needs.
  • Staff were developed and supported to ensure services were of high quality.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centred care.
  • There had been quality improvement work to improve patient access to services.
  • Services were tailored to meet patients’ needs.
  • The practice was engaged in local initiatives and worked effectively alongside partners in the local healthcare system.

We rated the practice as requires improvement for providing safe services because:

  • Systems to mitigate the risks relating to the health, safety and welfare of service users and others who may be at risk were managed inconsistently.

We rated the practice as requires improvement for providing well-led services because:

  • The practice failed to have clear and effective processes for managing risks, issues and performance. The processes in place to identify, assess and mitigate risks to patient safety were not always operated effectively.

The area where the provider must make improvements are:

  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

The area where the provider should make improvements are:

  • Review the processes in place to promote the benefits of cancer screening programmes with a view to increasing uptake.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BS BM BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care