We carried out an announced comprehensive inspection at OHP-Yardley Wood Health Centre on 30 October 2019 as part of our inspection programme.
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 good overall and requires improvement for all population groups.
We rated the practice as good for providing safe, effective, caring, and well led services because:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- Practice staff learned from incidents and complaints.
- Patients received effective care and treatment that met their needs.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- The practice organised and delivered services to meet patients’ needs.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care. There was clear action taken in response to challenges faced and in supporting local priorities.
We rated the practice as requires improvement for providing responsive services and for all the population groups because:
- People were not always able to access care and treatment in a timely way. Although, the practice was clearly able to evidence action they were taking to try and improve patient access results from the National GP Patient Survey were significantly lower than CCG and national averages. However, results from the practice’s own patient survey were starting to show an improved trajectory.
- Issues relating to access impacted on all population groups.
Whilst we found no breaches of regulations, the provider should:
- Consider undertaking a review of prescribing controlled medicines to identify any potential areas for improvement.
- Continue to review action taken to improve uptake of cervical cancer screening.
- Continue to review and monitor action taken to improve patient access to ensure the improved trajectory is maintained.
- Review areas of administrative record keeping to support the service including: recording of all staff immunisations in line with recognised guidance; maintenance of cleaning records for all clinical equipment; improved recording of staff meetings to ensure they provide a comprehensive account for future reference and taking forward any actions.
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