Poundbury Doctors Surgery

We carried out an announced inspection at Poundbury Doctors Surgery on 4 May 2022. Overall, the practice is rated as Good

The key questions have been rated as;

Safe - Good

Effective - Good

Well-led - Good

Following our previous inspection on 14 February 2017 the practice was rated Good overall and for all key questions.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Poundbury Doctors Surgery on our website at www.cqc.org.uk

Why we carried out this inspection.

The CQC is currently undertaking a ‘Band 1 Quality Sampling review’ of practices rated Good/Outstanding. In each sector we are undertaking a percentage of inspections of band one services with published statements and are a key part of our quality assurance of the new monitoring approach.

How we carried out the inspection.

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included:

• Conducting staff interviews using video conferencing
• Completing clinical searches on the practice’s patient records system and discussing findings with the provider
• Reviewing patient records to identify issues and clarify actions taken by the provider
• Requesting evidence from the provider
• A short site visit

Our findings

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 found that:

• The practice provided care in a way that kept patients safe and protected them from avoidable harm.
• We found appropriate recruitment checks were in place for staff working at the practice.
• Patients received effective care and treatment that met their needs.
• Staff dealt with patients with kindness and respect and involved them in decisions about their care.
• Our review of clinical records found patients with long-term conditions received appropriate management and follow-up.
• The practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic. Patients could access care and treatment in a timely way.
• The way the practice was led and managed promoted the delivery of high-quality, person-centred care.

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

• The provider should ensure persons employed in the provision of the regulated activity receive the appropriate training, necessary to enable them to carry out their duties.
• Monitor the systems put in place to improve uptake of cervical screening to ensure they are effective.
• The provider should consider reviewing their processes and systems for recording and acting on safety alerts.

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