The Care Quality Commission
  • Doctor
  • GP practice

Charlotte Keel Medical Practice

Overall: Good read more about inspection ratings

Seymour Road, Easton, Bristol, BS5 0UA (0117) 902 7145

Provided and run by:
Brisdoc Healthcare Services Limited

Important: The provider of this service changed. See old profile
Important: The provider of this service has requested a review of one or more of the ratings.

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Charlotte Keel Medical Practice on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Charlotte Keel Medical Practice, you can give feedback on this service.

4 January 2020

During an inspection looking at part of the service

We carried out an announced comprehensive inspection of Charlotte Keel Medical Practice in May 2019 and rated the provider as Good overall and requires improvement for providing safe services. In November 2019 we carried out our annual regulatory review and found there had been no significant changes to the quality of care delivered in the effective, caring, responsive and well led domains.

On 4 February 2020 we carried out a focussed inspection to follow up on breaches of regulations found in the safe domain during the inspection carried out in May 2019, where we found processes for infection prevention control (IPC) were not effective, specifically relating to the management of clinical waste and management of the cold chain.

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.

During this inspection we have rated the practice:

Safe – Good

At this inspection we found:

  • Systems and processes to manage healthcare waste had been improved and were fully embedded.
  • Procedures had been updated and improved to manage the cold chain and were operating effectively.
  • Systems to assess, monitor and manage risks to patient safety.
  • There were safe systems in place to ensure effective medicines management and antimicrobial guardianship.
  • The practice took all opportunities to learn and make improvements across all staff groups from when things went wrong.

At the last inspection we also told the practice that they should continue to improve patient satisfaction. During this inspection we found that results from the National GP survey had improved. For example, the percentage of respondents who felt that their last appointment met their needs had increased from 79% to 87%. Other areas of the survey also demonstrated improvement.

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

29 Nov to 29 Nov 2018

During a routine inspection

We carried out an announced comprehensive inspection at Charlotte Keel Medical Practice on 29 November 2018 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.

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

  • There was no evidence that consistent actions had been taken when temperature monitoring indicated that vaccine fridges had operated outside of the recommended range.
  • The arrangements for managing clinical waste did not adhere to national guidance.

We rated the practice as Good for providing Effective, Caring, Responsive and Well-led services because:

  • 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.
  • 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. Most patients said they could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

The area where the provider must make improvements are:

  • Ensure that care and treatment is provided in a safe way.

The areas where the provider should make improvements are:

  • Continue to implement actions to improve patient satisfaction. This is in respect of:
    • The lower than average National GP Survey results in the caring and responsive key questions.

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

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice