The Care Quality Commission
  • Doctor
  • GP practice

Malvern Health Centre

Overall: Good read more about inspection ratings

Prospect View, 300 Pickersleigh Road, Malvern, Worcestershire, WR14 2GP (01684) 584050

Provided and run by:
Malvern Health Centre

All Inspections

During an assessment under our new approach

Date of assessment: 26 August 2025 to 3 September 2025. Malvern Health Centre is a GP practice and delivers service to 12,913 patients under a contract held with NHS England. The National General Practice Profiles states the practice population is 95.5% White, 1.89% Asian, 0.46% Black, 1.71% Mixed and 0.38% Other. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the 7th decile (7 out of 10). The lower the decile, the more deprived the practice population is relative to others. This assessment considered the demographics of the people using the service, the context the service was working within and how this impacted service delivery. Where relevant, further commentary is provided in the quality statements section of this report.

The service had a good learning culture and people could raise concerns. Managers investigated incidents thoroughly. People were protected and kept safe. Staff understood and managed risks. The facilities and equipment met the needs of people, were clean and well-maintained and any risks were mitigated. Staff managed medicines well and involved people in planning any changes. People were involved in assessments of their needs. Staff reviewed assessments taking account of people’s communication, personal and health needs. Care was based on latest evidence and good practice. People were treated with kindness and compassion. Staff protected their privacy and dignity. The practice treated people as individuals and supported their preferences. People were involved in decisions about their care. The service provided information people could understand. People knew how to give feedback and were confident the service took it seriously and acted on it. Staff understood their roles and responsibilities. Managers worked with the local community to deliver the best possible care and were receptive to new ideas.

 

23 February 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We had carried out an announced comprehensive inspection of Malvern Health Centre on 19 January 2016. As a result of our inspection the practice was rated as good overall but required improvement for providing effective services.

During the last inspection we identified a breach of regulation around effective care and treatment. The areas we identified the provider must improve included:

  • Review the clinical audit programme to ensure continuous improvements are made to patient care.

  • Ensure that audits are dated and include a timescale for when they will be re-audited to ensure improvements made in patient care have been sustained.

Following the inspection the practice sent us an action plan detailing the actions they were going to take to improve.

We carried out a focused desk-based review of Malvern Health Centre on 23 February 2017 to check that the provider had made improvements in line with our recommendations and to ensure regulations were now being met. This report only covers our findings in relation to those requirements. The full comprehensive report for the January 2016 inspection can be found by selecting the ‘all reports’ link for Malvern Health Centre on our website at www.cqc.org.uk.

The practice is now rated as good for the provision of effective services.

As part of our focused desk-based review the management team provided evidence to demonstrate that:

  • The audit policy had been revised and a clinical audit template had been implemented to ensure continuous improvement to patient care was monitored, evaluated and maintained.

  • We received copies of audits to show that improvements had been made. The evidence confirmed that audits were dated and included timescales for re-audit to ensure improvements made in patient care had been sustained.

We were satisfied that the practice had made the required improvements.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

19 January 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Malvern Health Centre on 19 January 2016. Overall the practice is rated as good.

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

  • There were systems in place to mitigate safety risks including analysing significant events and safeguarding. The premises were clean and tidy.Systems were in place to ensure vaccines stored appropriately and in date.

  • Recruitment procedures included all relevant checks to protect patients from harm. Systems were in place for safe hygiene practices by staff to protect patients from unnecessary risk of infections.

  • Patients had their needs assessed in line with current guidance and clinical staff had a holistic approach to patient care. Staff promoted health education to empower patients to live healthier lives.

  • Feedback from patients and observations throughout our inspection showed that staff were kind, caring and helpful. They told us they were satisfied with the standards of care.

  • Practice staff worked closely with other organisations and external professionals in planning how services were provided to ensure that they meet people’s needs. People with complex needs had care plans in place that were regularly reviewed.

  • Complaints were dealt with appropriately and honest feedback was provided to the complainant.

  • Staff worked together as a team. There was a clear leadership structure and staff felt supported by management. It was evident that there was a motivated staff team.

However, there was an area of practice where the provider needs to make improvements.

The provider must:

  • Review the clinical audit programme to ensure continuous improvements are made to patient care. Ensure that audits are dated and include a timescale for when they will be re-audited to ensure improvements made in patient care have been sustained.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice