We carried out an announced inspection at Petersgate Medical Centre on 5 and 6 September 2022. Overall, the practice is rated as Good.
Safe - Good
Effective - Good
Caring - Good
Responsive - Good
Well-led - Good
Following our previous inspection on 23 February 2016 the practice was rated Good overall.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Petersgate Medical Centre on our website at www.cqc.org.uk
Why we carried out this inspection
We carried out a comprehensive inspection due to the previous age of the inspection rating (over five years).
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:
- Conducting staff interviews using video conferencing
- 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 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 have rated this practice as Good overall.
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 adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic. Patients could access care and treatment in a timely way.
- Patient’s individual needs and preferences were central to the delivery of practices services.
- The practice used innovative approaches to ensure services were delivered in a way that was convenient for patients. For example, they introduced ‘covid boxes’ containing equipment to check symptomatic patients with covid and to monitor patients for any signs of deterioration. They also worked collaboratively with a neighbouring practice to establish a monthly diabetic support group.
- There was compassionate and inclusive leadership who strove to motivate staff to succeed and ensure succession planning was embedded. There were high levels of satisfaction confirmed via staff feedback forms and in the staff survey. There were consistently high levels of constructive engagement with patients and the PPG.
Whilst we found no breaches of regulations, the provider should:
- Standardise medication reviews to ensure monitoring checks are reviewed
- Continue with plans to review historic safety alerts.
- Continue with plans to improve uptake of cervical cytology screening.
We saw examples of outstanding practice:
- The practice used innovative approaches to ensure services were delivered in a way that is convenient for patients. At the beginning of the pandemic the practice introduced ‘covid boxes’ containing equipment to check symptomatic patients with covid and to monitor patients for any signs of deterioration. These were used at home visits or in the practice car park. The clinician would be in contact by telephone/text with the patient to monitor and arrange admission should the patient deteriorate. This innovative scheme was adopted by Doncaster Clinical Commissioning Group (CCG) in November 2020 and rolled out to other practices. The practice said this had helped reduced any unnecessary hospital admissions.
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