We carried out a review of the data available to us about Carn to Coast Health Centres on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Carn to Coast Health Centres, you can give feedback on this service.
We carried out an announced inspection at Carn to Coast Health Centres on 24 February and 15 March 2022. Overall, the practice is rated as Good.
Safe - Good
Effective - Good
Well-led - Good
Following our previous inspection on 6 July 2016, the practice was rated Good overall and Good in safe, effective, caring and well led. The responsive domain and the vulnearable people population group were rated as Outstanding.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Carn to Coast on our website at www.cqc.org.uk
Why we carried out this inspection
The CQC undertook this inspection at the same time as we inspected a range of urgent and emergency care services in Cornwall. To understand the experience of GP Providers and people who use GP services, we asked a range of questions in relation to urgent and emergency care. The responses we received have been used to inform and support system wide feedback.
How we carried out the inspection
Throughout the pandemic, CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.
This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.
This included:
Our findings
We based our judgement of the quality of care at this service on a combination of:
We have rated this practice as Good overall
We found that:
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
We carried out an announced comprehensive inspection at Carn to Coast Health Centres on 8 March 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
Risks to patients were assessed and well managed.
Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
All 58 patients expressed high levels of satisfaction about all aspects of their care and treatment at the practice during the inspection. They said they were always treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment. Information about services and how to complain was available and easy to understand.
Patients said staff responded immediately to their request and found it easy to make an appointment with a named GP for continuity of care, with urgent appointments available the same day.
The practice had good facilities and was well equipped to treat patients and meet their needs.
There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
The provider was aware of and complied with the requirements of the Duty of Candour.
We saw areas of outstanding practice:
Carn to Coast Health Centres was proactive in understanding the different needs of groups of people. We saw several examples including the trusting rapport that GPs had developed with a gypsy and traveller community. Data showed that the practice was effective in improving health outcomes for 134 people living there with increased engagement with health monitoring, national screening and immunisation programmes.
The involvement of other organisations and the community was integral to how services were planned. For example, the views of approximately 1,000 vulnerable older patients in the nearby community of St Day had been listened to regarding future access to GP and pharmacy services. The branch surgery had been under threat due to financial viability. In response, the practice provided legal representation for the community to challenge NHS stakeholders about the future services there. As a result, the branch surgery was able to stay open.
A home detoxification service for patients recovering from addictions under close supervision of GPs with expertise in this area, supported by secondary service specialists at the mental health partnership Trust. Participation in an bringing specialist diabetes care closer to home, which had so far had enabled
The areas where the provider should make improvement are:
Review the storage and use of injectable glucagon by referring to the purchase invoice and demonstrating that 18 months has not elapsed from delivery for safe patient use.
Chief Inspector of General Practice