This practice is rated as good overall. The practice had previously been inspected in May 2015 when it was rated good overall.
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 Wilsden Medical Centre on 28 June 2018 as part of our inspection programme.
At this inspection we found:
- The practice had a number of systems to manage risk so that safety incidents were less likely to happen. The management of significant events had recently been improved and we saw that when incidents did happen, the practice learned from them and improved their processes.
- The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
- The practice had carried out several full two cycle clinical audits to drive improvement and a practice pharmacist undertook regular medicine reviews.
- Staff involved and treated patients with compassion, kindness, dignity and respect. All of patient comment cards we collected during the inspection were very positive about the care and services offered.
- Patients did not always find the appointment system convenient to use. However, they told us they were always able to access urgent care when they needed it.
- There was an active patient group that worked closely with the staff team. The group undertook surveys and engaged with all members of the practice population. This included health promotion activity at local galas and encouraging patient participation amongst local high school pupils.
- The whole staff team were collaborative and supportive. We saw example of kindness and compassion being displayed to team members when their personal circumstances and needs required a flexible approach.
- Rates of patient screening for cervical, bowel and breast cancer were higher than local and national averages. The provider also had high rates of childhood immunisations.
- There was a strong focus on continuous learning and improvement at all levels of the organisation. For example, in partnership with other health professionals, the practice had delivered an innovative six week course around planning and care towards the end of life.
The areas where the provider should make improvements are:
- The provider should take action to develop a comprehensive and systematic risk assessment across the operation of the practice. This would include building safety and potential risks posed to staff and members of the public; to be assured that health and safety matters are appropriately identified and acted upon.
- The provider should improve their approach to the management of complaints and take action to ensure that all matters of complaint are appropriately investigated, acted upon and learning implemented across the practice team.
- The provider should review their approach to clinical audit and ensure that services offered through minor surgery are regularly reviewed; to be assured that treatment and outcomes are safe and appropriate.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.