Following our annual regulatory review of the information available to us, we inspected this service on 16 December 2019. The service was last inspected in January 2015. It was rated as good for providing safe, effective,caring and well led services. It was rated as outstanding for providing responsive services. The outstanding rating followed from the practice’s involvement in a project which has since ended.
The current inspection looked at the following key questions; was the service providing effective, responsive and well led services for the registered patient population. We decided not to inspect whether the practice was providing safe or caring services as there was no information from the annual regulatory review which indicated this was necessary
The ratings from our previous inspection for safe and caring services have been carried through to contribute to the overall rating for the practice
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 safe, effective, responsive, caring and well-led services because:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- Patients received effective care and treatment that met their needs.
- Services were tailored to meet the needs of individual patients. They were delivered in a flexible way that ensured choice and continuity of care.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
- Governance systems were effective and regularly reviewed.
- The practice was engaged in local initiatives and worked alongside partners in the local healthcare system.
We have rated this practice as good overall and good for all population groups except the population group older people. We rated this as outstanding because the practice’s specialist team provided a person-centred, integrated and responsive service to these patients.
The areas where the practice should make improvements are:
- Review and implement actions for the management of documentation to help ensure it is kept up to date.
- Implement actions to improve uptake for the cervical screening programme to meet the national target of 80%.
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