12 January 2024
During an inspection looking at part of the service
We undertook a targeted assessment of the responsive key question at Waverley PMS. The rating for the responsive key question is good. As the other key questions were not reviewed during this assessment, the rating of good will be carried forward from the previous inspection and the overall rating of the service will remain good
Safe - not inspected, rating of good carried forward from previous inspection.
Effective - not inspected, rating of good carried forward from previous inspection.
Caring - not inspected, rating of good carried forward from previous inspection.
Responsive – good.
Well-led - not inspected, rating of good carried forward from previous inspection.
Following our previous inspection on 10 January 2019 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 Waverley PMS on our website at www.cqc.org.uk
Why we carried out this assessment
We carried out a targeted assessment of the responsive key question. Targeted assessments enable us to focus on certain key questions to explore particular aspects of care.
We recognise the work that GP practices have been engaged in to continue to provide safe, quality care to the people they serve. We know colleagues are doing this while demand for general practice remains exceptionally high, with more appointments being provided than ever. In this challenging context, access to general practice remains a concern for people. Our strategy makes a commitment to deliver regulation driven by people’s needs and experiences of care. These assessments of the responsive key question include looking at what practices are doing innovatively to improve patient access to primary care and sharing this information to drive improvement.
How we carried out the assessment
This assessment was carried out without a site visit
This included:
- Conducting staff interviews using video conferencing.
- Requesting evidence from the provider.
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 found that:
- Patients could mostly access care and treatment in a timely way and patient satisfaction with access to the service had improved over the previous year.
- The practice constantly monitored and reviewed the appointment system to ensure appointments were offered to meet patient demand.
- Complaints were listened and responded to.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Health Care