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Dr McManus and Partners Good Also known as Weavers Medical

Inspection Summary


Overall summary & rating

Good

Updated 9 April 2020

Weavers Medical had been inspected previously on the following dates: -

2 October 2014 under the comprehensive inspection programme. The practice was rated as Good overall

3 July 2019 we carried out an announced focussed inspection. This was as a result of the Care Quality Commissions annual regulatory review. We inspected the domain areas of, effective and well led. During the inspection due to concerns we found we added a further key question of safe which resulted in the practice being rated as requires improvement overall. Safe and effective were rated as requires improvement. Well-led was rated as inadequate and the populations groups were rated as requires improvement. We served a warning notice in relation to Regulation 17 Good Governance which required the practice to be compliant by 4 October 2019.

We carried out an announced comprehensive inspection at Weavers Medical on 26 February 2020 as part of our inspection programme. We also looked at the breaches covered in the warning notice for Regulation 17, Good Governance, served in July 2019.

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.

We rated the practice as Good for providing a Safe service because:-

  • At this inspection we found that the practice had made improvements to the systems it had in place for patient safety alerts, management of high-risk medicines and medication reviews.

We rated the practice as Requires Improvement for providing Effective services and for four out of the six population groups because:-

  • The population groups of people with long term conditions, families, children and young people, working age people (including those recently retired and students) and people experiencing poor mental health (including people with dementia) were rated as requires improvement because :-
  • The practice has not met the minimum 90% for three of four childhood immunisation uptake indicators.
  • The percentage of women eligible for cervical screening was below the national average of 80%.
  • Exception reporting for patients with long term conditions, mental health and dementia were above the CCG and national averages.
  • People were not always able to access care and treatment in a timely way.

We rated the practice as Good for providing a Caring and Responsive service because:-

  • Staff treated patients with kindness, respect and compassion. Feedback from patients was positive about the way staff treated people.

We rated the practice as Good for providing a well-led service because we found:-

  • The management team had made a number of improvements and had achieved compliance for the warning notice. However , there were still some areas of governance that needed strengthening.

The areas 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 areas where the provider should make improvements:-

  • Improve patient satisfaction for appointments and the ability to access the practice by telephone.

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

Overall summary

Inspection areas

Safe

Good

Effective

Requires improvement

Caring

Good

Responsive

Good

Well-led

Good
Checks on specific services

People with long term conditions

Requires improvement

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)

Requires improvement

People whose circumstances may make them vulnerable

Good