The Care Quality Commission
  • Doctor
  • GP practice

Lombard Medical Centre

Overall: Good read more about inspection ratings

2 Portland Street, Newark, Nottinghamshire, NG24 4XG (01636) 702363

Provided and run by:
Lombard Medical Centre

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Lombard Medical Centre on 6 July 2023. 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 Lombard Medical Centre, you can give feedback on this service.

18 September 2019

During an inspection looking at part of the service

We carried out an announced focused inspection at Lombard Medical Centre on 18 September 2019 as part of our inspection programme.

The service was previously inspected in July 2015 and was rated Good overall at that inspection.

We carried out an inspection of this service as we believed there may have been a change in its overall rating since our previous 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:

  • Effective
  • Responsive
  • Well-led

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

  • Safe
  • Caring

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 found that:

  • 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 way the practice was led and managed promoted the delivery of high-quality person-centred care.

The area where the provider should make improvement is:

  • Strengthen and improve documentation of the supervision of non-medical prescribers to include a review of the effectiveness of their prescribing practices and consultations.

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

16 July 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Lombard Medical Centre on 16 July 2015. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing safe, effective, responsive, caring and well led services. It was good for providing services for older people, people with long term conditions, families, children and babies, working age people (including those recently retired), people whose circumstances may make them vulnerable and people experiencing poor mental health (including people with dementia).

Our key findings were as follows:

  • Systems were in place for the learning and improvement from safety incidents. Staff understood and fulfilled their responsibilities to raise concerns and report incidents. Learning from incidents was shared widely. Risks to patients were assessed and well managed
  • A multi-disciplinary approach to patient care was evident; the practice worked well with other agencies to ensure care and support was coordinated.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and training planned.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment but raised concerns about access to appointments.
  • Information about how to make a complaint was available and easy to understand. Complaints were dealt with appropriately and in a timely manner
  • 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.
  • There was a strong commitment to quality within the practice and we saw evidence of a robust quality system.

We saw several areas of outstanding practice including:

  • The practice employed a pharmacist three days per week to provide a consultation and advice service. The pharmacist’s role involved carrying out medicines audits, reviews of patients’ medicines and offering clinics to see patients. The pharmacist was a trained prescriber and provided support to the nurse prescribers within the practice. The work of the pharmacist enabled the practice to effectively implement evidence based prescribing across a range of therapeutic drugs with patients.
  • The practice had worked closely with the local traveller community and the lead GP for this group had been involved in making an award winning TV documentary which was subsequently used as a training tool.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice