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Ailsworth Medical Centre Good

Inspection Summary

Overall summary & rating


Updated 30 July 2019

We carried out an unannounced comprehensive inspection at Ailsworth Medical Centre on 25 June 2019 to respond to concerns raised. The practice was previously inspected in April 2018 and rated as good in all domains and therefore good overall.

Our judgement of the quality of care at this service is based 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.

This means that:

  • Patients had good outcomes because they received effective care and treatment that met their needs.
  • Patients were supported, treated with dignity and respect and were involved as partners in their care.
  • There were several examples of the caring nature of staff.
  • Outcomes from the GP Patient Survey in relation to the care provided by clinicians were generally in line with average.
  • People’s needs were met by the way in which services were organised and delivered.
  • Outcomes for patients in the Quality and Outcomes Framework for 2018/19 showed the practice had maintained a high level of achievement and had reduced their exception reporting.

We have rated the practice as requires improvement for providing safe services because:

  • The practice did not have evidence of safeguarding training for all staff.
  • We found that standard operating procedures were due for review in September 2018 and these had not been reviewed or updated.
  • Annual competencies for dispensary staff were not up to date.
  • We found there was a system for receiving and acting on safety alerts, however this was not always effective. We found one alert relating to sodium valproate that had been actioned appropriately and patients reviewed. However, we found another alert relating to antibiotics that had not been actioned.

We have rated the families, children and young people population group as requires improvement for effective services because:

  • Outcomes for childhood immunisations were below the national target.

We found the provider must:

  • Ensure care is provided in a safe way to patients.

We found the provider should:

  • Review and improve the new quality improvement system for auditing the services provided.
  • Improve the identification of carers to enable this group of patients to access the care and support they need.
  • Review standard operating procedures and policies to ensure these are updated appropriately.
  • Improve data relating to timely reviews for patients with a cancer diagnosis.

Details of our findings and the evidence supporting our ratings are set out in the evidence table.

Dr Rosie Benneyworth BS BM BMedSci MRCGP
Chief Inspector of General Practice

Inspection areas


Requires improvement








Checks on specific services

People with long term conditions


Families, children and young people

Requires improvement

Older people


Working age people (including those recently retired and students)


People experiencing poor mental health (including people with dementia)


People whose circumstances may make them vulnerable