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Bideford Medical Centre Good

Inspection Summary


Overall summary & rating

Good

Updated 1 June 2020

We carried out an announced focused inspection at Bideford Medical Centre on 11 February 2020 as part of our inspection programme.

We carried out an inspection of this service following our annual review of the information available to us including information provided by the practice.

This inspection focused on the following key questions:

Is the service effective?

Is the service responsive?

Is the service well led?

Because of the assurance received from our review of information we carried forward the ratings for the following key questions:

Is the service safe?

Is the service caring?

The practice was previously inspected in June 2017 and the report published in July 2017 with an overall rating of Good and all domains rated as Good. On our inspection in February 2020 we found that significant improvements had been made which had changed the rating awarded.

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 rated all population groups as good.

We saw areas of outstanding practice:

  • A national first had been achieved by the practice in setting up the community pharmacist scheme. As part of Improved Access appointments on weekends or evenings, patients could book a pharmacist appointment to discuss minor ailments or illnesses. Home visits were available. This service was open to all 180,415 pts across the 18 practices.

  • A new website had been designed to promote self-care and self-manage conditions such as drug and alcohol problems, better eating, anxiety, sleep and welfare. Patients in younger age groups had been particularly positive about the new service. The practice had shared the new website with the 18 other practices in North Devon.

  • A citizen’s advice bureau with a trained employee was available for bookable appointments at the practice. This service was funded by the practice. Patients could access consultations on a wide range of holistic solutions for health and well-being. For example, social prescribing, social security and housing, relationships and mental health.

  • Hospital waiting lists were actively reduced by the practice. A practice GP provided in-house vasectomy and carpal tunnels procedures. The practice had secured an agreement with the local hospital to enable them to reduce hospital waiting lists.

  • As the lead practice both in the North Devon Collaborative Board (NDCB) and Torridge Health Primary Care Network (PCN) the practice had initiated and implemented the improved access system across the 18 practices in North Devon.

Whilst we did not find any breaches of regulation, we found an area where the provider should make improvement;

  • Continue to improve cervical cancer screening uptake in line with national guidance

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 areas

Safe

Good

Effective

Good

Caring

Good

Responsive

Good

Well-led

Good
Checks on specific services

People with long term conditions

Good

Families, children and young people

Good

Older people

Good

Working age people (including those recently retired and students)

Good

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good