Broadway Medical Centre

This practice is rated as Good overall. (Previous rating August 2015- Good)

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 Broadway Medical Centre on 10 October 2018 as part of our annual programme of inspection.

At this inspection we found:

• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice recorded and investigated them, however learning from these was not always shared effectively.
• 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.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

We saw several areas of outstanding practice :-

• The practice delivered a mental health service jointly with another practice in Fleetwood Neighbourhood team. Patients were triaged within three days and 98% received low intensity cognitive behavioural therapy within two weeks.
• The practice had set up a specialist Hepatitis C clinic in conjunction with Fleetwood Neighbourhood team to address local needs in relation to substance abuse.
• A practice paramedic was employed who carried out home visits for patients with acute problems, they could admit directly to hospital when required. This member of staff also led on end of life care maintaining contact with bereaved families to provide ongoing support and signposting.
• The practice had carried out five initiatives in the past two years to gain feedback on services and facilities. This included a carers event in conjunction with the local carers service.

The areas where the provider should make improvements are:

• Improve the documentation of incidents to ensure that actions agreed and learning outcomes are clearly recorded and reviewed.
• Update the recruitment policy to include reference to the use of DBS checks for clinical staff and chaperones.
• Take action so that uncollected prescriptions are managed efficiently.
• Review recall systems in order to improve attendance of patients with long term conditions
• Continue to take action to identify patients with caring responsibilities.
• Consider adding a hearing loop to improve the experience of patients with hearing impairment.

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