We carried out an inspection of this service due to the length of time since the last inspection. At our last inspection, we rated the practice as good overall. Following our review of the information available to us, including information provided by the practice, we focused our inspection on the following key questions: effective and well led.
Because of the assurance received from our review of information we carried forward the ratings for the following key questions: safe, caring and responsive.
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. During our previous inspection we rated safe, caring and responsive as good. During this inspection we rated effective and well led as good. We rated the older people population group as outstanding.
We have rated the practice as good for providing effective services because:
- Patients’ received care and treatment that met their needs and was delivered in line with evidence-based guidance. The practice reviewed the quality of care delivered.
- Staff received training to carry out their roles and worked well with other organisations.
- Staff were proactive in helping patients to live healthier lives.
We rated the practice as outstanding for the older people population group.
- The population of the practice was disproportionately older than the average for the CCG and the practice had focussed effective care to meet the needs of patient groups. The practice had developed a ‘leg clinic’ and ‘leg club’ which had enhanced care for older patients with leg wounds. Patients received a detailed program of care, which included a full vascular assessment, complimented by social support. Data demonstrated improved wound healing rates which had improved from 24 to 12 weeks. Survey data showed a positive impact on patient wellbeing.
We rated the practice as good for providing well led services because:
- There was compassionate, inclusive and effective leadership at all levels
- There was a demonstrated commitment to using data and information proactively to drive and support decision making
- The practice pro-actively engaged with staff and external partners to sustain high quality and sustainable care.
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 General Practice