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Archived: The Beaumont Practice Good

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Inspection carried out on 17 January 2019

During a routine inspection

We carried out an announced comprehensive inspection at The Beaumont Practice on 17 January 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 all population groups.

We found that:

  • Practice performance in relation to diabetes management was lower than the national average.
  • Uptake to the national child immunisation programme was below the recommended targets.
  • 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 and respect and involved them in decisions about their care.
  • 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.

Whilst we found no breaches of regulations, the provider should:

  • Continue to look at ways to improve outcomes for patients with long term conditions, especially those patients with diabetes.
  • Continue to look at ways to improve uptake to the child immunisation programme.
  • Continue 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 FRCGP
Chief Inspector of General Practice

Inspection carried out on 30 November 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection the Beaumont Practice on 30 November 2017, which was undertaken in accordance with our published process to re-inspect a proportion of practices previously rated as good or outstanding. At the previous inspection in April 2015 the practice had been rated as Good. The practice is now rated as requires improvement overall and the five key questions are rated as follows:

Are services safe? – Requires improvement

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Requires improvement

As part of our inspection process, we also look at the quality of care for specific population groups. We have rated the practice as requires improvement overall and for the key questions of safe and well-led. The concerns which led to these ratings apply to everyone using the service. Accordingly, the population groups are rated as follows:

Older People – Requires improvement

People with long-term conditions – Requires improvement

Families, children and young people – Requires improvement

Working age people (including those retired and students – Requires improvement

People whose circumstances may make them vulnerable – Requires improvement

People experiencing poor mental health (including people with dementia) - Requires improvement

At this inspection we found:

  • The remaining GP partner had found running the practice alone to be challenging. We had concerns that the GP partner working elsewhere for part of the week might adversely impact on clinical and managerial oversight at the practice. However, a new prospective partner has now been identified and they will shortly be joining the practice. It was anticipated that their appointment would strengthen the leadership capacity, oversight and governance.
  • There had been some uncertainty over the frequency of refresher training for staff, but it was confirmed during the inspection that some staff members were not up to date with their mandatory training needs.
  • Although the clinical team met frequently, this was not on a formal basis and there was not consistent recording to ensure that relevant information was passed on.
  • The practice learned from incidents and took action to improve its processes. However, the relevant protocol was in need of review and records of discussions were not consistently kept or passed on.
  • Published data showed the practice performance was above local and national averages.
  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. Care and treatment was delivered according to evidence-based guidelines.
  • There was some evidence that clinical audit drove improvement. However, there was scope for more audits to be carried out.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.
  • Patients found it easy to use the appointment system and told us they could access care when they needed it.
  • Data from the GP patient survey showed that patient satisfaction had been below local and national averages. However, this had been acted upon by the practice and its own larger and more recent patient survey had shown improvements had been made.

The areas where the practice must make improvements as they are in breach of regulations are:

  • Ensure care and treatment is provided in a safe way to patients.
  • Ensure there are effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

In addition, the areas where the practice should make improvements are:

  • Produce and implement a practice protocol covering guidelines issued by the National Institute for Health and Care Excellence (NICE).
  • Implement a more extensive system of clinical auditing.
  • Establish weekly minuted clinical meetings to ensure that information is appropriately recorded and shared.
  • Continue with efforts to address the cleanliness concerns relating to one of the consultation rooms.

  • Continue to review and monitor patients’ feedback to maintain the improvement in satisfaction levels.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

Inspection carried out on 23 April 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at the Beaumont Practice on 23 April 2015. Overall the practice is rated as good.

Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the CQC at that time.

Our key findings across all the areas we inspected were as follows:

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
  • Risks to patients were assessed and well managed.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles.

  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand.
  • Patients said they found it difficult to get through to the practice on the telephone however with urgent appointments were available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.

However there were areas of practice where the provider needs to make improvements.

Importantly the provider should:

  • Ensure all patients have an annual medication review.

  • Develop a system in line with national guidance for the monitoring of Warfarin levels for patients prescribed this medication.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice