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Littlebury Medical Centre Good

Inspection Summary

Overall summary & rating


Updated 12 March 2019

Littlebury Medical Centre had been inspected previously on the following dates: -

  • 5 April 2018 under the comprehensive inspection programmed. The practice was rated as Requires Improvement overall. Breaches of legal requirements were found in relation to safe care and treatment, safeguarding service users from abuse and improper treatment and governance arrangements within the practice. Requirement notices were issues which required them to submit an action plan on how they were going to take action to meet these requirements.

We carried out an announced comprehensive inspection at Littlebury Medical Centre on 6 February 2019 as part of our inspection programme.

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.
  • 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.
  • The practice organised and delivered services to meet patients’ needs. 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-centre care.
  • The practice did not always have clear and effective processes for managing risk.
  • The practice did not always act on appropriate and accurate information.

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

  • Review and embed the current systems for the recording of near misses in the dispensary, management of legionella, fire safety and emergency equipment and medicines.
  • Continue the plan to drive improvement through clinical audit and the monitoring of national patient survey data to improve the experience of patients.
  • Put a plan in place to ensure the nursing team have regular meetings which are documented.
  • Improve the identification of carers to enable this group of patients to access the care and support they need and ensure information is available in line with NHS England Accessible Information Standard.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Inspection areas










Checks on specific services

People with long term conditions


Families, children and young people


Older people


Working age people (including those recently retired and students)


People experiencing poor mental health (including people with dementia)


People whose circumstances may make them vulnerable