Updated 14 March 2024
We carried out a focussed assessment of Cookham Medical Centre between 11 to 17 April 2024. We undertook this assessment due to the age of the rating because we had not assessed the service since February 2016. We reviewed 5 quality statements from the safe, effective, responsive and well-led key questions and found areas of concern. The scores for these areas have been combined with scores based on the key question ratings from the last inspection. Although the assessment of these 5 quality statements indicated areas of concern since the last inspection, our overall rating remains good. The service is currently rated good for all 5 key questions: safe, effective, caring, responsive and, well-led. During the assessment we found: The practice supported people from vulnerable groups to access care and removed any barriers that could create inequalities in experience or outcomes for people. Leaders were approachable and the culture in the practice was supportive. Staff conducted audits to monitor the effectiveness of systems and processes, but this did not work effectively in all areas. Systems to learn from incidents existed, but learning was not always shared promptly with all staff. The practice's system to act upon medicine safety alerts was not effective. People with long-term conditions did not always receive all recommended monitoring. We found 1 breach of legal regulation in relation to governance and have asked the provider for an action plan in response to the concerns found at this assessment.