The Care Quality Commission
  • Doctor
  • GP practice

Grange Medical Centre

Overall: Good read more about inspection ratings

1 Horton Grange Road, Bradford, West Yorkshire, BD7 3AH (01274) 957908

Provided and run by:
Dr Syed Mazhar Abbas Zaidi

Important: The provider of this service changed - see old profile

All Inspections

23 September 2022

During a routine inspection

We carried out an announced comprehensive inspection at Grange Medical Centre on 22 and 23 September 2022. Overall, the practice is rated as Good

Safe - Good

Effective – Requires Improvement

Caring - Good

Responsive - Good

Well-led - Good

Following our previous inspection on 5 April 2018, the practice was rated good overall and for all key questions.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Grange Medical Centre on our website at www.cqc.org.uk

Why we carried out this inspection

We carried out this comprehensive inspection in line with our inspection priorities.

How we carried out the inspection

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included:

  • Conducting some staff interviews using video/telephone conferencing.
  • Completing clinical searches on the practice’s patient records system and discussing findings with the provider.
  • Reviewing patient records to identify issues and clarify actions taken by the provider.
  • Requesting evidence from the provider.
  • A short site visit to both the main location and branch surgery.
  • Reviewing completed staff questionnaires.
  • Speaking with patients and reviewing their feedback.

Our findings

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 found that:

  • There were systems in place to safeguard children and vulnerable adults from abuse and staff we spoke with knew how to identify and report safeguarding concerns.
  • Leaders reviewed the effectiveness and appropriateness of the care the service provided. They ensured that care and treatment was delivered according to evidence-based guidelines.
  • The practice adjusted how services were delivered to meet the needs of patients during the COVID-19 pandemic. Patients were able to access care and treatment in a timely way.
  • There was a programme of quality improvement, this included clinical audit.
  • Staff had the skills, knowledge and experience to deliver effective care.
  • The practice had a good understanding of the needs of the local population and delivered services to meet these needs. In addition, they had engaged with the community to raise awareness of subjects and issues such as COVID-19, immunisation and healthy lifestyles.
  • The practice operated effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
  • Leaders and managers in the practice demonstrated they had the capacity and skills to deliver high-quality, sustainable care.
  • There were mixed views from patients in relation to accessing services.

We found a breach of regulations. The provider must:

  • Ensure care and treatment is provided in a safe way to patients (refer to the requirement notice at the end of the report for more detail).

In addition, the provider should:

  • Promote and increase uptake of cervical and bowel cancer screening.
  • Improve patient engagement to understand and redress areas of low patient satisfaction in regard to patient consultations and access to services.

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

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services

05/04/2018

During a routine inspection

This practice is rated as good overall.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Grange Medical Centre on 5 April 2018 as part of our inspection programme.

At this inspection we found:

  • The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them, and improved their processes.
  • The new provider had thoroughly reviewed the effectiveness and appropriateness of the care it provided. They ensured that care and treatment was delivered according to evidence- based guidelines and best practice.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.
  • The practice had an established and engaged Patient Participation Group (PPG) who were integral to the development of the practice.
  • The national GP patient survey data showed that patient satisfaction was generally below CCG and national averages. However, a recent patient survey undertaken by the new provider and responses provided to CQC on the day of inspection did not align with this.
  • Patients told us they found the appointment system easy to use and reported that they were able to access care when they needed it.
  • There was a strong focus on improvement at all levels of the organisation.
  • Regular and effective meetings were held at the practice but we found that meeting minutes did not always reflect the level of detail which staff assured us was discussed.

The areas where the provider should make improvements are:

  • Continue to review and act upon the results of patient satisfaction surveys in order to meet the needs of their patient population in the future.
  • Continue to improve the identification of carers to enable this group of patients to access the care and support they require.
  • Take action to ensure that meeting notes fully reflect all the areas discussed.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice