Uni-City Medical Centre

Date of Assessment: 30 October 2025 to 7 November 2025. Uni-City Medical Centre is a GP practice and delivers service to 20,224 people under a contract held with NHS England. The National General Practice Profiles states demographics are in line with local and national averages. Information published by Office for Health Improvement and Disparities shows deprivation within the service population group is in the 3rd decile (3 of 10). The lower the decile, the more deprived the service population is, relative to others. The demographics of the people using the service were considered as part of this inspection. Where relevant, further commentary is provided in the quality statements section of this report.

The service now had a good learning culture and people could raise concerns. Leaders had investigated incidents thoroughly. People were protected and kept safe. Staff now understood and managed risks. The facilities and equipment met the needs of people, were clean and well-maintained and risks mitigated. There were enough staff with the right skills, qualifications and experience. Leaders now made sure staff received training and regular appraisals to maintain high-quality care. Staff managed medicines monitoring well and involved people in planning any changes.

People were involved in assessments of their needs. Staff reviewed assessments taking account of people’s communication, personal and health needs. Care was based on latest evidence and good practice. Staff worked with all agencies involved in people’s care for the best outcomes and smooth transitions when moving services. Staff made sure people understood their care and treatment to enable them to give informed consent. Staff involved those important to people to take decisions in people’s best interests where they did not have capacity.

People were involved in decisions about their care. The service now provided information people could understand. People knew how to give feedback and were confident the service took it seriously and acted on it. People received fair and equal care and treatment. The service worked to reduce health and care inequalities through training and feedback. People were now involved in planning their care and understood options around choosing to withdraw or not receive care.

Leaders and staff now had a shared vision and culture based on listening, learning and trust. Leaders were much more visible, knowledgeable and supportive, helping staff to develop in their roles. Staff now felt supported to give feedback and were treated equally, free from bullying or harassment. Staff understood their roles and responsibilities. Staff worked with the local community to deliver the best possible care and were receptive to new ideas. There was an improved culture of continuous improvement with staff given time and resources to try new ideas.

This service was placed in Special Measures on 29 July 2025. At this assessment, the provider demonstrated improvements had been made. The service is now rated Good overall. Therefore, this service is no longer in Special Measures.

Date of Inspection: 7 April to 10 April 2025.Uni City Medical practice is a GP practice and delivers practice to 20,000 patients under a contract held with NHS England. The National General Practice Profiles states that demographics are in line with local and national averages. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the 3rd decile (3 of 10). The lower the decile, the more deprived the practice population is relative to others. The demographics of the people using the practice were considered as part of this inspection. This was the practice’s first inspection since their registration in October 2022.The practice did not always investigate incidents thoroughly and there was no identified learning from incidents. The environment was clean and well maintained, however not all risks had been identified or mitigated against. Recruitment records did not hold all the relevant checks and documents. Not all staff had received their annual appraisal.The remote clinical searches identified people were involved in assessments of their needs. Staff worked with agencies involved in people’s care and documentation of consent was present. However, staff had not received up to date training to enable them to undertake there role effectively. There were some delays in reviewing test results and documentation, placing patients at risk of harm.People were treated with kindness and compassion. Staff protected their privacy and dignity. They treated them as individuals and supported their preferences. People had choice in their care and treatment. However, the practice did not always support staff well being. People were involved in decisions about their care. The provider offered patients the opportunity to give feedback and supported them in doing so. The practice was easy to access. The GP national survey gave positive overall experience when contacting the practice.There was a lack of established and effective systems in place to ensure safe recruitment systems and fit and proper persons were employed. The learning culture within the practice was not effective and learning from events were not documented or shared internally with the team. Systems for managing complaints were not effective and response times for feedback were not followed as stated in the provider’s policy.

This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we user our enforcement powers in response to inadequate care and provide a time frame within which providers must improve the quality of the care they provide.We identified 4 breaches of the legal regulations relating to safe care and treatment ,staffing, fit and proper persons employed and good governance. In instances where CQC has decided to take civil enforcement action against the provider, we will publish this information on our website after any representations and/ or appeals have been concluded. We have also asked the provider for an action plan in response to some of the concerns found at this assessment.