10 and 14 July
During a routine inspection
We carried out an announced inspection at Upper Eden Medical Practice on 10 and 14 July 2023. Overall, the practice is rated as Good.
Safe - Good
Effective – Good
Caring - Good
Responsive - Good
Well-led – Good
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Upper Eden Medical Practice on our website at www.cqc.org.uk
Why we carried out this inspection
This inspection was a comprehensive inspection to rate the practice following a change to their registration with CQC. This was therefore the first rated inspection of the service under this provider.
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.
- Care and attention was paid to families who had suffered a bereavement.
- The practice regularly reviewed its access arrangements for patients
- The practice used clinical audits to improve care and treatment.
- Following the COVID-19 pandemic there were recovery plans in place to ensure patient’s received good care.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
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 Hospitals and Interim Chief Inspector of Primary Medical Services