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Inspection Summary


Overall summary & rating

Good

Updated 19 November 2019

We carried out an announced focussed inspection at Warley Road surgery on 8 October 2019 as part of our inspection programme.

We carried out an inspection of this service following our annual review of the information available to us including information provided by the practice. Our review indicated that there may have been a significant change to the quality of care provided since the last inspection.

This inspection focused on the following key questions: Effective and Well-led.

Because of the assurance received from our review of information we carried forward the rating for the following key questions: Safe, Caring and 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, except for Families, children and young people and Working age people (including those recently retired and students) which were rated as Requires Improvement.

We found that:

  • The practice had reviewed their system of managing safety alerts to ensure the appropriate actions were taken.
  • Systems had been implemented to ensure emergency equipment was regularly checked.
  • To increase the uptake of bowel cancer screening, the practice telephoned patients and spoke with them in their first language to encourage them to attend appointments.
  • The practice monitored vulnerable patients to reduce avoidable admissions.
  • National GP patient survey results were higher than average for a number of questions. The results were reviewed and discussed at team meetings.
  • The staff were aware of the difficulties of maintaining confidentiality at the reception desk and did their upmost to ensure conversations could not be overheard.
  • The practice continually reviewed the effectiveness of their services and had implemented a range of initiatives to support patients in the community.

  • Learning was encouraged and staff were given opportunities to develop the skills required for their roles and responsibilities.
  • The culture of the practice and the way it was led and managed drove the delivery and improvement of high-quality, person-centred care.
  • There was continuous commitment to patients and external stakeholders to share information, ideas and improvements. This included supporting in house advice groups to support patients in the management of their conditions.

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

  • Continue to encourage patients to attend cancer screening.
  • Review current system for the monitoring of Patient Group Directions to ensure they are up to date.
  • Continue to monitor childhood immunisations to ensure targets are being met.

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 areas

Safe

Good

Effective

Requires improvement

Caring

Good

Responsive

Good

Well-led

Good
Checks on specific services

People with long term conditions

Good

Families, children and young people

Requires improvement

Older people

Good

Working age people (including those recently retired and students)

Requires improvement

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good