We carried out an announced inspection at Dr PF Mullen's Practice on 22 October 2019. 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:
Because of the assurance received from our review of information we carried forward the ratings for the following key questions:
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 received 20 CQC feedback cards about patient care and experience, these cards were given to patients before and during the inspection. Comments made by patients were extremely positive about the services provided and the practice staff.
We have rated this practice as Good overall and good for all population groups.
We rated the practice as Good for providing effective services because:
- Patients’ needs were assessed, and care and treatment were delivered in line with current legislation, standards and evidence-based guidance.
- The practice had a comprehensive programme of quality improvement activity and routinely reviewed the effectiveness and appropriateness of the care provided.
- The practice was able to demonstrate that staff had the skills, knowledge and experience to carry out their roles.
- Staff worked together and with other organisations to deliver effective care and treatment.
- Staff were consistent and proactive in helping patients to live healthier lives.
- The practice always obtained consent to care and treatment in line with legislation and guidance.
We rated the practice as Good for providing well-led services because:
- There was compassionate, inclusive and effective leadership at all levels. They had the capacity and skills to deliver high quality sustainable care.
- The practice had a clear vision and credible strategy to provide high quality sustainable care.
- The practice had a culture which drove high quality sustainable care.
- There were clear responsibilities, roles and systems of accountability to support good governance and management.
- There were clear and effective processes for managing risks, issues and performance.
- There was a demonstrated commitment to using data and information proactively to drive and support decision making.
- The practice involved the public, staff and external partners to sustain high quality and sustainable care.
- There was evidence of systems and processes for learning, continuous improvement and innovation.
The areas where the provider should make improvements:
- The provider should complete an appropriate risk assessment to identify a list of medicines that are not suitable for the practice to stock. The list should be kept under review.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.