Silverlock Medical Centre

AT Medics is a provider registered with CQC Silverlock Medical Centre is a location registered with that provider.

We carried out an inspection of the location on 22 August 2019 as part of our scheduled 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 all population groups except families children and young people which is rated as requires improvement.

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

• The systems in place for managing patients prescribed medicines, including high risk medicines, ensured adherence to guidance and that patients remained safe.
• The practice had safeguarding systems in place
• There were systems in place to report significant events and we saw evidence of discussion of events in practice meetings
• Appropriate recruitment checks had been completed for staff employed at the service.
• Risks associated with the premises were well managed.
• The provider had adequate arrangements in place to respond to emergencies including patients who presented with symptoms of sepsis.

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

• There was evidence of quality improvement activity.
• Staff were receiving regular appraisals.
• Effective joint working was in place.
• Patients were receiving regular reviews and the treatment provided was in line with current guidelines this was reflected in high levels of achievement against most local and national targets; although performance against targets for childhood immunisations were below the World Health Organisation Targets and performance for cervical screening was below the Public Health England target. The practice had undertaken a number of actions in an effort to improvement uptake.

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

• Staff dealt with patients with kindness and respect and involved them in decisions about their care.

We rated the practice as good for responsive services because:

• Complaints were managed in a timely fashion and detailed responses were provided.
• Feedback from both the national GP patient survey and comment cards received by CQC was mixed regarding access to care and treatment at the practice. The practice had taken steps to improve access in response to feedback from patients.

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

• There were effective governance arrangements.
• The provider had adequate systems in place to assess, monitor and address risk.
• The provider did not have an active patient participation group but held engagement events and an open surgery for patients to feed back to the practice manager once a week.
• There was evidence of continuous improvement or innovation.
• Staff provided positive feedback about working at the practice which indicated that there was a good working culture.

The areas where the provider should make improvements are:

• Continue with work to improve on national screening and immunisation targets.
• Continue with work to improve patient satisfaction with access and patient engagement.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Please refer to the detailed report and the evidence tables for further information.