The practice is rated as good overall. The previous inspection report was published in June 2016 and the practice rated good overall and outstanding for caring.
The key questions at this inspection 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 Bildeston Health Centre on 6 February 2019. This was part of our planned 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. At this inspection we found:
- 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.
- Staff dealt with patients with kindness, compassion and respect and involved them in decisions about their care and treatment.
- The practice organised and delivered services to meet patients’ needs. Patients 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 practice is no longer rated as outstanding for caring. Initiatives that were previously regarded as innovative or unusual may no longer be so, because things have moved on in primary care and having now inspected all GP practices we have a better understanding of the baseline.
Whilst we found no breaches of regulations, the provider should:
- Improve the system for the oversight of training, to ensure it is effective and accurate.
- Improve the system for checking that evidence based practice is followed for prescribing.
- The practice should have a formal proactive check of the competency of staff employed in advanced clinical practice.
- Continue with plans to re-establish the Patient Participation Group.
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