21 January 2020
During a routine inspection
We carried out an inspection on 21 January 2020, of this service following our annual review of the information available to us including information provided by the practice. Our review indicated that there may have been a change to the quality of care provided since the last inspection.
This inspection focused on the following key questions:
Safe, Effective, Caring; Responsive, Well led
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 and good for all population groups.
We found that:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- 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 organised and delivered services to meet patients’ needs. 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.
Whilst we found no breaches of regulations, the provider should:
- Improve systems and processes to ensure all risk assessments activity is regularly monitored.
- Review the process for signing patient group directives to make sure it complies with best practice and guidance.
- Review whether the practice needs to routinely stock medicines to be used in the event of a patient in status epilepticus.
- Continue to ensure that evidence of satisfactory conduct is obtained during the recruitment process.
- Improve arrangements to effectively share the vision and strategy of the practice.
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