We carried out an announced comprehensive of Archway NHS Medical Centre (“the practice”) involving a site visit on 19 July 2023. Overall, the practice is rated as Good.
- Safe - Good
- Effective - Good
- Caring - Good
- Responsive - Good
- Well-led - Good
The practice had last been inspected in February 2018, when we rated it Good overall. The full reports for previous inspections can be found on the following page of our website:
Why we carried out this inspection
We carried out this inspection in line with our inspection priorities, in response to information shared with us by service commissioners. This related to the significant expansion of the patient list with large numbers registering as out of area patients.
How we carried out the inspection
This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.
- Conducting staff interviews using video conferencing.
- Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
- Reviewing patient records to identify issues and clarify actions taken by the provider.
- Requesting evidence from the provider.
- A site visit.
- Reviewing direct feedback from patients via our website.
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 found that:
- People were protected from avoidable harm and abuse.
- People have good outcomes because they receive effective care and treatment that meets their needs.
- People are supported, treated with dignity and respect and are involved as partners in their care.
- People’s needs are met through the ways services are organised and delivered.
- The leadership, governance and culture promote the delivery of high quality person-centred care.
We identified the following example of outstanding practice:
- The practice had identified an opportunity to provide services to people registered out of area, catering to all patients, particularly to students and working age people. It had been proactive and innovative in its involvement in designing and implementing the service app., which was compliant with NHS requirements, and in setting up a business model to allow patients living out of area to register with the service. It provided all patients who used to app. with online services and remote consultations over long operating hours, seven days a week. All patients who use the service app. can directly book face to face appointments at the practice location from Monday to Friday. The app. contained a suite of management and monitoring tools allowing the practice to identify and implement improvements moving forward.
Whilst we found no breaches of regulations, the provider should:
- The practice should continue with work to increase the uptake of childhood immunisations and cervical screening.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Health Care