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Penntorr Health Requires improvement

This service was previously registered at a different address - see old profile

We are carrying out a review of quality at Penntorr Health. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary

Overall summary & rating

Requires improvement

Updated 17 December 2019

We carried out an inspection of Penntorr Health on 6 November 2019 following our annual review of the information available to us, including information provided by the practice. Our review indicated that there may have been a significant change to the quality of care provided since the last inspection.

This inspection focused on the following key questions:

  • Safe - Good
  • Effective - Requires Improvement
  • Well-led - Requires Improvement

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

  • Caring – Good
  • Responsive – Good

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 Requires Improvement overall and good for Safe services.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • The practice learned and made improvements when things went wrong.
  • There was compassionate, inclusive and effective leadership at all levels.
  • There were systems and processes for learning, continuous improvement and innovation.

We have rated this practice as requires improvement for provising Effective and Well Led services.

We found that:

  • The practice was not able to demonstrate how they monitored the percentage of patients who had attended appointments to monitor long-term conditions and mental health.
  • The practice was able to demonstrate that staff had the skills, knowledge and experience to carry out their roles.
  • There were some clear responsibilities, roles and systems of accountability to support good governance and management. However, other governance systems were ineffective.
  • There were shortfalls relating to the management of risks and performance.

The areas where the provider must make improvements are:

Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

The areas where the provider should make improvements are:

  • Reduce prescribing of antibiotics used to treat uncomplicated urinary tract infections and Nonsteroidal anti-inflammatory drugs.
  • Promote the uptake of childhood immunisations.
  • Improve data for cancer screening indicators.

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




Requires improvement






Requires improvement
Checks on specific services

People with long term conditions

Requires improvement

Families, children and young people

Requires improvement

Older people


Working age people (including those recently retired and students)

Requires improvement

People experiencing poor mental health (including people with dementia)

Requires improvement

People whose circumstances may make them vulnerable