The Care Quality Commission
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  • GP practice

Clifton Medical Practice

Overall: Good read more about inspection ratings

Clifton Cornerstone, Southchurch Drive, Clifton, Nottingham, Nottinghamshire, NG11 8EW (0115) 921 1288

Provided and run by:
Clifton Medical Practice

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Clifton Medical Practice on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Clifton Medical Practice, you can give feedback on this service.

25/02/2020

During an inspection looking at part of the service

We carried out an announced comprehensive inspection at Clifton Medical Practice on 25 February 2020 as part of our inspection programme.

We previously inspected the practice on 24 November 2014 and rated it Good overall, and Good in all the key questions.

We carried out an announced focussed inspection on 17 December 2019 to assess any ongoing risk to patients following an incident that occurred at the practice. We did not find any patient safety concerns and did not rate the practice.

The full reports can be found on the CQC website.

We carried out an inspection of this service as we believed there may have been a change in its overall rating since our previous inspection.

Following our review of the information available to us, including information provided by the practice, we focused our inspection on the following key questions:

  • Safe
  • Effective
  • Well-led

Because of the assurance received from our review of information we carried forward the ratings for the following key questions:

  • Caring
  • 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 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 the uptake of childhood immunisations and cervical screening to achieve national targets.

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

17/12/2019

During an inspection looking at part of the service

We carried out an announced focussed inspection at Clifton Medical Practice on 17 December 2019 to assess any ongoing risk to patients in respect of managing high risk medicines following an incident that occurred at the practice.

The practice was last inspected on 24 November 2014, and the report was published on 9 April 2015. The full report can be found on the CQC website

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 and other organisations.

At this inspection, we did not find any patient safety concerns in relation to the management of high risk medicines. Our key findings at this inspection were:

  • There was a process for the management of high risk medicines (for example, warfarin, methotrexate and lithium) with appropriate monitoring and clinical review prior to prescribing.
  • Prescriptions for high risk medicines were issued by appropriately trained staff only and alerts were entered onto the clinical system to highlight this. Staff we spoke to, including administration staff, were aware of this.
  • Recalls were set at the appropriate intervals as recommended by national guidelines. The practice issued reminders on coloured paper attached to prescriptions for patients due for review, and reduced the medicines supply after two reminders to encourage patients to attend reviews.
  • All patient contacts were recorded on the clinical system. All staff involved in the process of managing patients on high risk medicines had received training delivered by the practice with documented procedures in place. This included staff involved in reviewing pathology results.
  • The practice undertook recent clinical audits to monitor quality improvement in their management of patients on high risk medicines, which showed patients were managed appropriately. We reviewed a random sample of 18 records of patients on high risk medicines (methotrexate, lithium, warfarin and azathioprine), and found these were managed appropriately.

Whilst we found no breaches, the provider should:

  • Review the documented procedures to be more explicit about individual roles and timescales for completing specific tasks.

24 November 2014

During a routine inspection

Letter from the Chief Inspector of General Practice

We inspected Clifton Medical Practice on 24 November 2014. The practice is located at Clifton Cornerstone, Southchurch Drive, Clifton, Nottingham NG11 8EW.

This practice has an overall rating of good. We found the practice to be good in the five domains of safe, effective, caring, responsive and well-led. We found the practice provided good care to older people and families, children and young people, people with long-term conditions, working age people, people whose circumstances may make them vulnerable and people experiencing poor mental health.

Our key findings were as follows:

  • Staff understood their responsibilities to raise concerns and report accidents, incidents and near misses. Opportunities to learn from internal and external incidents were analysed and used to support improvement.
  • Clifton Medical Practice had sound clinical systems in place to ensure effective service delivery. This included regular clinical meetings with records of the discussion and learning points. In addition the practice followed local and national guidelines and best practice such as National Institute for Health and Care Excellence (NICE) guidelines.
  • Data from the national patient’s survey showed that patients rated the practice as well or higher than other practices locally and nationally. For example patients spoke positively about their experiences of receiving care from their GP.
  • The practice ensured that referrals were made to hospital or other services in a timely manner.
  • There was a stated vision for the practice, and clear lines of accountability and leadership in place. Complaints and concerns were addressed and learning points were used by the staff to make improvements.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice