Paradise Medical Centre Also known as Dr D Mistry and Partners

We previously carried out an announced comprehensive inspection at Paradise Medical Centre on 28 January 2015. Following this inspection, we rated the practice as good overall. The practice was rated good for all key questions and all population groups.

We carried out an inspection at Paradise Medical Centre on 30 January 2020 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:

• Safe
• Effective
• Caring
• Responsive
• 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. We have rated the practice as good for all key questions and population groups.

We found that:

• The practice provided care in a way that kept patients safe and protected them from avoidable harm.
• The practice reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence-based guidelines and best practice.
• There were comprehensive policies and procedures to support best practice, and these were regularly reviewed and updated.
• There was an open and transparent approach to safety and a system in place for recording, reporting and learning from significant events. 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.
• There were clearly defined and embedded systems, processes and practices in place to keep people safe and safeguarded from abuse, and for identifying and mitigating risks to health and safety.
• Staff demonstrated a care, kindness and respect in dealing with patients.
• Staff involved patients 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 practice had a comprehensive approach to succession planning and the promotion of sustainable care.
• The practice had a focus on learning and improvement.
• There were clear responsibilities, roles and systems of accountability to support effective governance.
• 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:

• Improve the rate of cervical screening uptake for eligible patients.

• Identify and implement measures to support improvement in patient satisfaction rates.

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