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Inspection carried out on 30 October 2019

During an inspection to make sure that the improvements required had been made

We carried out an announced comprehensive inspection at Scartho Medical Centre on 30 October 2019 as part of our inspection programme.

We carried out an inspection of this service due to the length of time since the last inspection. Following our review of the information available to us, including information provided by the practice, we focused our inspection on the following key questions:

Are services at this location effective?

Are services at this location well led?

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

Are services at this location safe?

Are services at this location caring?

Are services at this location 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 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.

We saw one area of outstanding practice:

  • The practice were proactive in supporting cancer screening programmes and encouraging patient engagement. They had achieved high rates of cervical cancer screening at the practice at 86.6% exceeding the 80% target for 2017/18. To achieve this the practice had four practice nurses trained to undertake cervical cancer screening. They had undertaken a promotional campaign in 2017 via social media. They provided early morning appointments and patients could book appointments online for cervical smears. They followed up non-attenders and put codes on the patient records, so these patients could be identified for opportunistic care. The practice had also achieved above local and national rates for breast and bowel cancer screening in 2017/18.

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

  • Review and improve processes for implementing National Institute for Health and Care Excellence (NICE) guidance for prescribing and the care and treatment of newly pregnant women on long-term medicines.

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 carried out on 27 January 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Scartho Medical Centre on 27 January 2015. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing safe, effective, caring, responsive and for being well led. It was also good for providing services for the older people and families, children and younger people.

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

  • Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. All opportunities for learning from internal and external incidents were maximised.

  • The practice provided services to the local community that had been designed to meet the needs of the local population.

  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment. Information was provided to help patients understand the care available to them.

  • The practice had good facilities and was well equipped to treat patients and meet their needs. Information about how to complain was available and easy to understand.

  • The practice had an effective governance system in place, was well organised and actively sought to learn from performance data, complaints, incidents and feedback.

The practice actively sought the opinions of staff and patients, working with a well-established patient participation group (PPG).

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice