12 February 2020
During an inspection looking at part of the service
At our inspection on 8 January 2019 we rated the practice as good for providing Effective, Caring, Responsive and Well Led services. However we rated Safe as Requires Improvement. We carried out an announced focussed follow up inspection on 12 February 2020 to inspect Safe.
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 at our last inspection. We rated Safe as Good for this inspection. Ratings for the Effective, Caring, Responsive and Well-led questions and for all population groups have been carried forward.
The practice remains rated as Good overall.
We rated the practice as Good for providing Safe services because:
- The practice had clear systems, practices and processes to keep people safe and safeguarded from abuse.
- Appropriate standards of cleanliness and hygiene were met.
- There were adequate systems to assess, monitor and manage risks to patient safety.
The areas where the provider should make improvements are:
- Maintain staff vaccination records in line with Public Health England guidance.
- Continue to plan significant event meetings to incorporate all staff groups to facilitate shared learning.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGPChief Inspector of General Practice