We carried out an inspection at The Nuffield Practice as part of our programme of inspections of providers who had either newly registered or changed their registration in the last 12 months. This was a comprehensive inspection because The Nuffield Practice had registered as a limited company.
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.
Overall the practice is rated as Requires Improvement
This rating arises because t
he key questions at this inspection are rated as follows:
Are services safe? – Requires improvement
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? – Requires improvement
We found that:
- Patients received effective care and treatment that met their needs.
- Staff were developed and supported to ensure services were of high quality.
- The way the practice was led and managed promoted the delivery of high-quality, person-centred care.
- There had been quality improvement work to improve patient access to services.
- Services were tailored to meet patients’ needs.
- The practice was engaged in local initiatives and worked effectively alongside partners in the local healthcare system.
We rated the practice as requires improvement for providing safe services because:
- Systems to mitigate the risks relating to the health, safety and welfare of service users and others who may be at risk were managed inconsistently.
We rated the practice as requires improvement for providing well-led services because:
- The practice failed to have clear and effective processes for managing risks, issues and performance. The processes in place to identify, assess and mitigate risks to patient safety were not always operated effectively.
The area where the provider must make improvements are:
- Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
The area where the provider should make improvements are:
- Review the processes in place to promote the benefits of cancer screening programmes with a view to increasing uptake.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BS BM BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care