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Inspection Summary


Overall summary & rating

Good

Updated 10 September 2019

We carried out an announced comprehensive inspection at Tuxford Medical Centre on 11 July 2019 as part of our inspection programme.

We decided to undertake an inspection of this service following our annual review of the information available to us. This inspection looked at the following two key questions

Are services effective?

Are services well led?

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 except for patients with long term conditions which is rated as outstanding.

We found that:

  • Patients received effective care and treatment that met their needs.
  • 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:

  • Review and improve systems to monitor implementation of the training programme and completion of training by staff.
  • Review and improve childhood immunisation uptake to meet World Health Organisation (WHO) targets.

  • Review and improve the practice’s speaking up policies so these are in line with the NHS Improvement Raising Concerns (Whistleblowing) Policy.

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

Inspection areas

Safe

Good

Updated 18 June 2015

The practice is rated as good for providing safe services. Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. Lessons were learned and communicated widely to support improvement. Information about safety was recorded, monitored, appropriately reviewed and addressed. Risks to patients were assessed and well managed. There were enough staff to keep people safe.

Effective

Good

Caring

Good

Updated 18 June 2015

The practice is rated as good for providing caring services. Patient surveys showed that the practice compared favourably with other practices in the area. Patients said they were treated with compassion, dignity and respect and they were involved in care and treatment decisions. Readily available information was provided to help patients understand the care available to them. We also saw that staff treated patients with kindness and respect ensuring confidentiality was maintained.

Responsive

Good

Updated 18 June 2015

The practice is rated as good for providing responsive services. The practice reviewed the needs of their local population and engaged with the NHS Area Team and Clinical Commissioning Group (CCG) to secure service improvements where these were identified. Patients reported good access to the practice, a named GP and continuity of care, with urgent appointments available on the same day. The practice was well equipped to treat patients and meet their needs. The practice had an effective complaints system.

Well-led

Good
Checks on specific services

People with long term conditions

Outstanding

Families, children and young people

Good

Older people

Good

Working age people (including those recently retired and students)

Good

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good