The Care Quality Commission
  • Doctor
  • GP practice

Chevin Medical Practice

Overall: Good read more about inspection ratings

3 Bridge Street, Otley, West Yorkshire, LS21 1BQ (01943) 858300

Provided and run by:
Chevin Medical Practice

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Chevin Medical Practice 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 Chevin Medical Practice, you can give feedback on this service.

6 October 2022

During an inspection looking at part of the service

We carried out an announced focused inspection at Chevin Medical Practice on 6 and 14 October 2022. We inspected the key questions of safe, effective and well-led. The practice is rated as good overall and for all of the key questions.

Following our previous inspection on 7 October 2015, 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 Chevin Medical Practice on our website at www.cqc.org.uk

Why we carried out this inspection

We carried out this inspection in line with our inspection priorities, due to the length of time since the last inspection.

How we carried out the inspection

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This included:

  • Conducting staff interviews by telephone.
  • Reviewing questionnaires we sent to staff.
  • Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
  • Reviewing patient records to identify issues and clarify actions taken by the provider.
  • Requesting evidence from the provider.
  • Site visits to all practice locations.
  • Reviewing patient feedback.

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 found that:

  • Patients could access care and treatment in a timely way.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice had systems in place to manage risk so that if safety incidents occurred, they were investigated. Any learning from them was shared and used to improve the service and prevent recurrence of similar issues.
  • Safeguarding systems, processes and practices had been developed, implemented and communicated to staff.
  • The provider had undertaken a risk assessment regarding the requirement of disclosure and barring service checks for their administration staff, including those who acted in the capacity of a chaperone.
  • Staff informed us they had access to policies, procedures and guidance relevant to their role and responsibilities, including clinical protocols.
  • There was access to appropriate clinical equipment, including those required to deal with medical emergencies, such as resuscitation equipment.
  • Infection prevention and control was appropriately managed to help safeguard people from COVID-19 and other associated infections.
  • Staff told us that the management team was approachable and that they felt well supported.

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

  • Improve the management of correspondence and test results.
  • Improve the usage and management of tasks on the clinical system.
  • Improve the process for and patient safety alerts to ensure any potential risks are discussed with affected paitents and appropriately documented.
  • Improve processes to recall and review patients, particularly those with long-term conditions and patients who are prescribed high-risk medicines.
  • Implement a system to ensure that supporting information for Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) decisions is accessible to staff.

7 October 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Chevin Medical Practice on 7 October 2015. 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 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.
  • Patients said they found it easy to make an appointment with a named GP and that 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.
  • The practice had successfully applied to provide Ear Nose and Throat and Dermatology services in the community.
  • The practice had introduced a dedicated team to manage the 2% of patients who were vulnerable or housebound and at risk of an unplanned hospital admission.
  • 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 noted two areas of outstanding practice:

  • The practice had successfully applied to provide Ear Nose and Throat and Dermatology services in the community. This enabled patients to access specialist care closer to home.Clinicians from the practice visited local schools to give talks about sexual health and contraception.

The areas where the provider should make improvement are:

  • Appoint a clinician to lead on IPC and carry out relevant audits, to supplement the role played by the practice manager.
  • Keep a log of emergency equipment checks to provide reassurance that these have been carried out.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice