Archived: Droylsden Road Family Practice

We carried out an announced inspection at Droylsden Road Family Practice on 18 & 24th May 2022 . Overall, the practice is rated as Requires Improvement.

The ratings for each key question are:

Safe - Good

Effective – Requires Improvement

Caring – Good

Responsive - Requires Improvement

Well-led – Good

Why we carried out this inspection

The inspection was carried out following changes to the practice registration.

This inspection was a comprehensive inspection to check the provider was complying with the regulations under the Health and Social Care Act 2008. We inspected five key questions to determine if the service is safe, effective,caring, responsive and well led.

How we carried out the inspection

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included:

• Using questionnaires sent to staff prior to the on-site visit;
• Speaking to staff in person;
• Completing clinical searches on the practice’s patient records system and discussing findings with the provider;
• Reviewing patient records to identify issues and clarify actions taken by the provider;
• Requesting evidence from the provider;
• A shorter site visit

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:

• 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. However, there were shortfall to deliver some screening programmes, with one clinical search identifying patients over ordering of one inhaler.
• Staff dealt with patients with kindness and respect and involved them in decisions about their care.
• The practice adjusted how it delivered services to respond to and meet the needs of patients during the COVID-19 pandemic. Patients could access care and treatment in a timely way. However, the GP survey data was below local and national average in multiple areas.
• The way the practice was led and managed promoted the delivery of high-quality, person-centered care.

Whilst we found no breaches of regulations, the provider should:

• Continue to monitor and review the uptake of childhood immunisations, cervical screening for the practice to help aim towards the National criteria targets.
• Continue to monitor patient access and look at ways to improve the GP satisfaction survey data.
• Continue to audit and review the repeat prescription pathway which involves third parties requesting patients’ medication.