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The Vine House Health Centre Good

Inspection Summary

Overall summary & rating


Updated 14 November 2019

We carried out an inspection of this service following our annual review of the information available to us including information provided by the practice. Our review indicated that there may have been a significant change to the quality of care provided since the last inspection.

This inspection focused on the following key questions: safe, effective and well-led.

Because of the assurance received from our review of information we carried forward the ratings for the following key questions: caring and responsive.

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

  • The practice’s systems for the appropriate and safe use of medicines, including medicines optimisation were not always comprehensive.

Please see the final section of this report for specific details of our concerns.

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

  • Patients received effective care and treatment that met their needs. The practice routinely reviewed the effectiveness and appropriateness of the care it provided. Staff had the skills, knowledge and experience to deliver effective care and treatment.
  • The way the practice was led and managed promoted the delivery of high quality, person-centred care and an inclusive, supportive environment for staff. There was a focus on continuous learning and improvement at all levels of the practice. Where we identified any concerns during our inspection, the practice assured us action would be taken to resolve the issues.

The area where the provider must make improvements is:

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

Please see the final section of this report for specific details of the action we require the provider to take.

The areas where the provider should make improvements are:

  • Implement a comprehensive system of training to include staff completing all essential training in a timely way, at the appropriate level for their roles, and that the healthcare assistant completes the Care Certificate.
  • Take steps so that existing infection prevention and control processes are strengthened. This includes those relating to the appropriate use and storage of cleaning equipment and the infection control lead completing suitable training for their role.
  • Strengthen systems and processes in relation to staff vaccinations and increasing the uptake of child immunisations and women attending for their cervical screening.
  • Provide staff with access to a Freedom to Speak Up Guardian and encourage an understanding of the practice’s values and strategy among all practice staff.

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

Inspection areas


Requires improvement








Checks on specific services

People with long term conditions


Families, children and young people


Older people


Working age people (including those recently retired and students)


People experiencing poor mental health (including people with dementia)


People whose circumstances may make them vulnerable