We carried out an announced inspection at Barbourne Health Centre, Worcester on 25 and 26 May 2022. Overall, the practice is rated as Good.
Safe - Good
Effective – Good
Well-led – Good
Why we carried out this inspection
This inspection included a comprehensive review of information and a site visit where we inspected safe, effective and well-led care. During our inspection we looked at one area of providing responsive care: Access to the service, this was not rated, and we did not identify any concerns with regards to access to the service.
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. Therefore, as part of this inspection we completed clinical searches on the practice’s patient records system and discussed the findings with the provider. This was with consent from the provider and in line with all data protection and information governance requirements.
The inspection also included:
- Requesting and reviewing evidence and information from the service
- A site visit
- Conducting staff interviews
- Reviewing patient records to identify issues and clarify actions taken by the provider
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
- information from the service, patients, the public and other organisations.
We have rated this practice as Good overall
We found that:
- The practice had clear systems, practices and processes to keep people safe and safeguarded from abuse. There was evidence to support appropriate and safe use of medicines and the practice routinely reviewed the effectiveness and appropriateness of the care provided.
- There was evidence of collaboration, team-working and support across all functions and a common focus on improving the quality and sustainability of care and people’s experiences.
- As part of our inspection process members of the management team described how the practice had undergone some changes and some challenges over the years. The evidence and staff feedback we gathered highlighted that the practice was moving towards a period of settling into some positive changes; this included the successful recruitment of two GPs who were due to join the practice in the summer of 2022.
- Practice leaders were experienced and demonstrated a clear understanding of practice challenges. Staff reported that leaders were visible and approachable. Feedback from both staff and patients gathered during the inspection was positive with regards to the practice team, as well as the delivery of services and patient care.
We saw an area of outstanding practice:
- We saw that the practice effectively utilised their clinical team in ways to help meet demand. Leaders were experienced and demonstrated a clear understanding of practice challenges. To tackle some of these challenges they utilised and upskilled their clinical team in ways to help meet demand. This included areas such as prescribing and minor ailment care.
Whilst we found no breaches of regulations, the provider should:
- Continue patient engagement and encouragement to attend appointments for cancer screening, specifically for cervical smear appointments and breast cancer screening.
- Formalise the current supervision arrangements across the clinical team.
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