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Windermere and Bowness Medical Practice

The provider of this service changed - see old profile

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Inspection summaries and ratings from previous provider

Overall summary & rating


Updated 26 February 2020

We carried out an announced focused inspection at Windermere and Bowness Medical Practice on 17 January 2020. We had previously inspected the practice in November 2018 where the practice overall rating was good, with the key question of effective rated as requires improvement.

We issued the practice with a requirement notice for a breach of Regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (Staffing) following the previous inspection. The full comprehensive report following the inspection in November 2018 can be found on our website here:

We also carried out a scheduled annual review of the information available to us including information provided by the practice before this inspection. Our review indicated that there may have been a significant change to the quality of care provided since the last inspection.

We carried out our most recent inspection in order to ensure the practice had implemented appropriate improvements following our inspection in November 2018 and as a result of our subsequent annual review.

This inspection focused on the following key questions: well-led, effective and responsive.

Because of the assurance received from our review of information we carried forward the ratings for the following key questions: safe and caring.

This inspection identified improvements in the effectiveness of the service and that good ratings for other key questions had been sustained.

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 and good for all population groups.

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.
  • Areas of clinical staff support, training, professional development, supervision and appraisal had been addressed and comprehensive procedures put in place.
  • The practice organised and delivered services to meet patients’ needs. 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-centre care.

We saw the following outstanding practice:

  • The practice musculoskeletal (MSK) clinician had recognised the need to support patients who had had a fall and lost confidence in mobilising. They developed a monthly “Bounce Back” clinic to offer care and support for all local patients. The service had recently been nominated for a primary care innovation award.

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

  • Improve the practice clinical audit programme to ensure two-cycle audits are carried out.
  • Improve records of all clinical staff training.
  • Implement a formal policy and procedure for the management of communications coming into the practice including a GP audit of items removed, not seen by a clinician.

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

Inspection areas










Checks on specific services

People with long term conditions


Families, children and young people


Older people


Working age people (including those recently retired and students)


People experiencing poor mental health (including people with dementia)


People whose circumstances may make them vulnerable