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Dr RI Addlestone, Dr N Mourmouris & Dr GE Orme Good


Review carried out on 9 September 2021

During a monthly review of our data

We carried out a review of the data available to us about Dr RI Addlestone, Dr N Mourmouris & Dr GE Orme on 9 September 2021. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Dr RI Addlestone, Dr N Mourmouris & Dr GE Orme, you can give feedback on this service.

Inspection carried out on 10 Dec 2019 and 14 Jan 2020

During an inspection looking at part of the service

We carried out an inspection of this service due to the length of time since the last inspection. Following our review of the information available to us, including information provided by the practice, we focused our inspection on the following key questions:

  • Are services effective?
  • Are services well- Led?

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.

We found that:

  • 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.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • The practice was committed to continuous learning and development.
  • We received positive comments from staff and patients regarding the service that was provided.

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

  • Continue to review and improve their processes in relation to Quality and Outcomes Framework (QoF) exception reporting to provide the optimum care for their patients.
  • Continue to take steps to improve uptake of cervical screening.
  • Monitor new cancer cases which have resulted from a two week urgent referral.

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 carried out on 31 August 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Thornton Medical Centre on 31 August 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.

  • Risks to patients were assessed and well managed.

  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.

  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.

  • Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.

  • Patients said they found it easy to make an appointment with a GP or nurse, and there was continuity of care, with urgent appointments available the same day.

  • The practice had good facilities and was well equipped to treat patients and meet their needs.

  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.

  • The provider was aware of and complied with the requirements of the duty of candour.

    We saw evidence of outstanding practice:

  • The practice was forward thinking and proactive, and contributed to a number of local initiatives in conjunction with other agencies and third sector organisations to address the complex needs of those patients with vulnerability factors, such as mental health, alcohol and drug misuse or debt problems. We saw evidence that patient well-being had been improved as a result of these initiatives. For example the practice had obtained funding to contribute to ‘mindfulness resilience skills’ groups which ran from the local children’s centre. We saw evaluation from these groups which indicated that between 85% and 100% attendees described feeling better about themselves, more able to cope and less stressed than before they attended the course.

    However the provider should:

  • Review the processes in place for recording and learning from verbal complaints.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice