11 December 2019
During an inspection looking at part of the service
We carried out an announced focussed inspection of The Gainsborough Practice on 11 December 2019 to follow up on a breach of regulation from the previous comprehensive inspection in November 2018. This inspection followed our annual review of the information available to us. This inspection looked at the Effective key question only. We did not check whether this practice was providing safe, caring, responsive or well led services at this inspection because our monitoring of the practice indicated no significant change since the last inspection.
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 for providing effective services and good for all population groups.
During this inspection we found that:
- The practice had reviewed their systems and processes for recalls and exception reporting and had achieved lower exception reporting outcomes when compared to previous data.
- Learning and development was promoted and provided for all staff.
- All staff at the practice were active in ensuring sustainable high quality care was provided to all patients.
- Nurses were actively involved in clinical audit and quality improvement activity.
Whilst we found no breaches of regulations, the provider should:
- Continue to engage with patients on the serious mental illness register to further improve access to care and reduce exception reporting.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care