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Archived: The Boulevard Medical Centre Inadequate

Inspection Summary

Overall summary & rating


Updated 9 August 2019

We carried out an unannounced focussed inspection at Boulevard Medical Centre on 27 June 2019 in response to concerns that we found at another practice which was part of the Beechdale Medical Group.

The practice had previously been inspected in June 2018 where it was rates as good overall.

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 inadequate overall.

We rated the practice as inadequate for providing safe services because:

  • The practice did not have clear systems and processes to assess, monitor and manage risks to patients safety.
  • There was no clinical oversight of staff working at the practice.
  • The premises were not fit for purpose and there was not effective infection prevention and control measures.
  • Equipment and medicines were out of date and put patient’s safety at risk.
  • There was limited monitoring of patient safety.
  • Care and treatment were not always delivered in line with national guidance.
  • The practice was unable to show that staff had the skills, knowledge and experience to carry out their roles.

We rated the practice as inadequate for providing well-led services because:

  • The practice was transitioning through a change in management and systems had not been embedded.
  • Leaders could not show that they had the capacity and skills to deliver high quality, sustainable care.
  • The practice culture did not effectively support high quality sustainable care.
  • The overall governance arrangements were ineffective.
  • The practice did not have clear and effective processes for managing risks, issues and performance.
  • The practice did not always act on appropriate and accurate information.

As a result of these concerns, we took immediate action to impose urgent conditions remove the location on the registration. This means that regulated activities can no longer be carried out at The Boulevard Medical Centre.

I am placing this service in special measures. Services placed in special measures will be inspected again within six months. If insufficient improvements have been made such that there remains a rating of inadequate for any population group, key question or overall, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating the service. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve.

The service will be kept under review and if needed could be escalated to urgent enforcement action. Where necessary, another inspection will be conducted within a further six months, and if there is not enough improvement we will move to close the service by adopting our proposal to remove this location or cancel the provider’s registration.

Special measures will give people who use the service the reassurance that the care they get should improve.

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


Not sufficient evidence to rate



Updated 27 June 2018



Updated 27 June 2018

Checks on specific services

People with long term conditions

Not sufficient evidence to rate

Families, children and young people

Not sufficient evidence to rate

Older people

Not sufficient evidence to rate

Working age people (including those recently retired and students)

Not sufficient evidence to rate

People experiencing poor mental health (including people with dementia)

Not sufficient evidence to rate

People whose circumstances may make them vulnerable

Not sufficient evidence to rate