Shirland Medical

We carried out an announced comprehensive inspection at Queens Park Health Centre (Shirland Medical) on 8 and 9 November 2023. Overall, the practice is rated as Good.

Safe - Good.

Effective - Good.

Caring – Good.

Responsive - Good.

Well-led - Good.

Why we carried out this inspection

We carried out this inspection in line with our inspection priorities.

At this inspection, we covered the following key questions:

• Are services safe?
• Are services effective?
• Are services caring?
• Are services responsive?
• Are services well-led?

How we carried out the inspection

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.

This included:

• Conducting staff interviews using video conferencing.
• Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
• Reviewing patient records to identify issues and clarify actions taken by the provider.
• Requesting evidence from the provider.
• A short 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.
• Staff dealt with patients with kindness and respect and involved them in decisions about their care.
• There was a system for recording and acting on significant events.
• There was an infection prevention and control policy and procedures were in place to reduce the risk and spread of infection.
• 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-centred care.
• There was evidence of quality improvement activity. Clinical audits were carried out.
• Staff had received training relevant to their role.
• Annual appraisals were carried out in a timely manner.
• Feedback from patients was positive about the way staff treated people.
• The practice had systems to manage and learn from complaints.

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

• Continue to encourage eligible patients to attend for cervical cancer screening and childhood immunisation.

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