The Care Quality Commission
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Belvidere Medical Practice

Overall: Outstanding read more about inspection ratings

23 Belvidere Road, Shrewsbury, Shropshire, SY2 5LS (01743) 363640

Provided and run by:
Belvidere 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 Belvidere 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 Belvidere Medical Practice, you can give feedback on this service.

9 January 2020

During an inspection looking at part of the service

We carried out an announced focused inspection at Belvidere Medical Practice on 09 January 2020 due to the length of time since the last 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: Safe, Effective and Well-Led. Because of the assurance received from our review of information we carried forward the ratings for the following key questions: Caring and Responsive.

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 previously carried out a comprehensive inspection at Belvidere Medical Practice on 2 June 2015. The overall rating was Outstanding. We rated the service as outstanding for providing caring and responsive services and good for providing safe, effective and well-led services. The report on the June 2015 inspection can be found by selecting the ‘all reports’ link for Belvidere Medical Practice on our website at .

We have rated this practice as outstanding overall and outstanding for all the population groups.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • The practice understood the needs of its population and tailored services in response to those needs.
  • Patients received effective care and treatment that met their needs and was planned and delivered according to evidence-based guidelines.
  • Eight of the 10 quality indicators used to monitor the effectiveness of the care and treatment provided to patients were above the national average. Overall exception reporting was lower than local and national averages, meaning more patients were included.
  • There were clear responsibilities, roles and systems of accountability to support good governance and management.
  • There was an open and transparent culture within the practice.
  • Staff felt valued and supported in their work and the development of their roles.
  • Patients were highly satisfied with the with the service they received from the practice.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
  • Leaders demonstrated that they had the capacity and skills to deliver high quality sustainable care. They were aware of their strengths and challenges and had taken action to address any shortfalls.
  • The practice had a clear vision and credible strategy to provide high quality sustainable care.

The areas where the provider should make improvements are:

  • Consider reviewing the security of consultation rooms.
  • Ensure all staff complete essential training.
  • Formalise whole team meetings to share learning and information practice wide.

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

Dr Rosie Benneyworth BM BS BMedSci MRCGPChief Inspector of General Practice

2 June 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Belvidere Medical Practice on 2 June 2015. Overall the practice is rated as outstanding.

Specifically, we found the practice to be outstanding in providing caring and responsive services. We found it good for providing safe, effective and well led services. It was also outstanding for providing services for older people; people with long-term conditions; families, children and young people; working age people; people whose circumstances may make them vulnerable and people experiencing poor mental health.

Our key findings across all the areas we inspected were as follows:

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
  • 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 planned.
  • Patients said they were treated with compassion, empathy, 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 and that there was continuity of care, with urgent appointments available the same day. The practice provided extended hours appointments with their GPs, respiratory nurse and counselling service. The practice had also increased the flexibility and length of time of their GP appointments to 12 minutes instead of 10 to ensure patients’ needs were met.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from patients, which it acted on.

We saw the following areas of outstanding practice:

  • The practice employed a care co-ordinator to support and facilitate care for vulnerable patients. For example, the practice had identified 110 frail and vulnerable patients registered with their practice and 96 of these patients had an agreed care plan in place. The care co-ordinator also co-ordinated three monthly health reviews by a GP and telephoned patients following any hospital admissions to check on their health and wellbeing. In addition, they proactively supported young carers and liaised with voluntary organisations such as the British Red Cross young carers service to support this vulnerable group.
  • Extended hours appointments were available with the GPs, respiratory nurse and the practice’s counselling service.
  • The practice employed a counsellor for patients experiencing mental health difficulties such as low mood, depression and anxiety. For 2014-2015 the practice had made 57 referrals to this service and 317 counselling sessions had been provided for these patients. Fifty-two out of 62 patients with a diagnosis of dementia had received an annual health review in the last 12 months.

However there were areas of practice where the provider needs to make improvements.

Importantly the provider should:

  • Introduce a system to review significant events over time to identify any trends in the type of incidents that may have occurred at the practice.
  • Introduce a risk log to ensure that identified risks are monitored and rated and mitigating actions recorded to reduce and manage the risk.
  • Ensure that all the staff receive regular appraisals.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice