We carried out an announced comprehensive inspection at St Augustine's Medical Practice on 1 August 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 good for providing safe, effective, caring, responsive and well-led services. The practice is also rated good for all population groups.
We rated the practice as good for providing safe, effective, caring, responsive and well led services because:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- Patients received effective care and treatment that met their needs. The practice could demonstrate good patient outcomes were delivered.
- The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
- Staff treated patients with kindness and respect and involved them in decisions about their care. The practice ethos was to provide an accessible and approachable patient-orientated service.
- The way the practice was led and managed promoted the delivery of high-quality, person-centred care. Leaders had the capacity and skills to deliver high-quality, sustainable care. They had a shared purpose which they strived to deliver whilst motivating staff to succeed.
- Feedback from patients who used the service, those close to them and external stakeholders was positive about the way staff cared for patients.
- Staff told us they felt supported and engaged with managers and there was a strong focus on continuous learning and improvement at all levels of the organisation.
Whilst we found no breaches of regulations, the provider should:
- Review their disclosure barring service (DBS) checks and risk assess those non-clinical staff to determine whether a DBS check is needed.
- Review arrangements to ensure that the immunisation status of staff is recorded in line with current Public Health England (PHE) guidance if relevant to role.
- Continue to review and take actions to reduce the exception rates to be within a minimum range of local and national rates
Please refer to the detailed report and the evidence tables for further information.
Dr Rosie Benneyworth
BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care