28 June 2022
During a routine inspection
We carried out an announced inspection at Crown Medical Practice on 28 June 2022. Overall, the practice is rated as Good.
Safe - Require Improvement
Effective -Good
Caring - Good
Responsive – Good
Well-led - Good
Following our previous inspection on 16 November 2015, the practice was rated Good overall and for all key questions.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Crown Medical Practice on our website at www.cqc.org.uk
Why we carried out this inspection
This inspection was a routine comprehensive with a site visit:
How we carried out the inspection
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.
This 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 short site visit
- Staff questionnaires
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
We found that:
- The practice mostly provided care in a way that kept patients safe and protected them from avoidable harm.
- Some patients were overdue their high-risk medicine monitoring checks and some monitoring results had not been electronically downloaded onto their systems prior to repeat prescribing.
- There was a lack of documentary evidence of advice provided to patients on the risks highlighted within medicine patient safety alerts for two specific medicines.
- Patients received effective care and treatment that met their needs.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- The practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic. Patients could access care and treatment in a timely way.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
We found a breach of regulations. The provider must:
- Ensure care and treatment is provided in a safe way to patients.
The provider should:
- Consider improvement to the practice significant event analysis by specifying all the completed learning.
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