You are here

Archived: Cauldwell Medical Centre Good

The provider of this service changed - see old profile

The provider of this service changed - see new profile

Inspection Summary

Overall summary & rating


Updated 4 April 2019

We carried out an announced comprehensive inspection at Cauldwell Medical Centre on 23 February 2018. The overall rating for the practice was requires improvement. The full comprehensive report on the February 2018 inspection can be found by selecting the ‘all reports’ link for Cauldwell Medical Centre on our website at .

We carried out an announced comprehensive inspection at Cauldwell Medical Centre on 6 March 2019 to follow up on practice improvements.

Our judgement of the quality of care at this service is based 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.

The practice is rated as good overall.

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

  • People who used the service were protected from avoidable harm and abuse, and legal requirements were met.
  • The systems for infection prevention and control were adequate and the premises were visibly clean and tidy.
  • Prescriptions were managed safely and the practice ensured they were logged in and out of clinical sessions
  • Safety alerts were appropriately managed. Clinical records we looked at confirmed this.

We rated the practice as requires improvement for providing effective services because:

  • Clinical indicators for patients with long-term conditions and patients suffering from a mental health condition were below the local and national averages.
  • Childhood immunisation uptake rates were below the World Health Organisation (WHO) targets.

We rated the practice as good for providing caring services because:

  • Staff showed commitment to patient care and ensured their privacy and dignity was maintained at all times.
  • The practice maintained a carers register and offered appropriate support to these patients.

We rated the practice as good for providing responsive services because:

  • The GP National Survey results were in line with local and national averages.
  • Complaints were appropriately responded to and analysed. Learning from complaints was regularly shared with staff members.
  • The practice had responded to patient feedback and made improvements to the service.

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

  • The leadership, governance and culture of the practice promoted the delivery of high quality person-centred care.
  • Staff told us that they felt supported and that management teams were visible and responsive to concerns.
  • Key policies were accessible to all staff.

There were areas where the provider should make improvements:

  • Continue to monitor and improve clinical indicators and ensure reviews are completed.
  • Explore how the uptake of cancer screening could be improved.
  • Continue to encourage patients to join a patient participation group.
  • Improve levels of patient satisfaction in particular, those in relation to being treated with kindness, respect and compassion and also in relation to access.
  • Continue to ensure patient safety by completing regular fire drills and completing a security risk assessment.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BS BM BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Inspection areas




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)


People experiencing poor mental health (including people with dementia)

Requires improvement

People whose circumstances may make them vulnerable