The Care Quality Commission
  • Doctor
  • Urgent care service or mobile doctor

Bridlington Urgent Treatment Centre

Overall: Good read more about inspection ratings

Entrance A, Bridlington Hospital, Bessingby Road, Bridlington, North Humberside, YO16 4QP (01262) 423464

Provided and run by:
City Health Care Partnership CIC

All Inspections

14 September 2021

During an inspection looking at part of the service

We carried out an announced inspection at The Wolds Primary Care Practice on 9 and 14 September 2021. Overall, the practice is rated as Good.

The ratings for each key question are

  • Safe - Good
  • Effective - Good
  • Well-led – Requires Improvement

The full reports for previous inspections can be found by selecting the ‘all reports’ link for The Wolds Primary Care

Practice on our website at www.cqc.org.uk

Why we carried out this inspection

This inspection was a focussed inspection to follow up on:

  • emerging risk.

How we carried out the inspection

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included:

  • Conducting staff interviews using video conferencing
  • Completing clinical searches on the practice’s patient records system and discussing findings with the provider
  • Reviewing patient records to identify issues and clarify actions taken by the provider
  • Requesting evidence from the provider
  • A short site visit

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
  • information from the provider, patients, the public and other organisations.

We have rated this practice as Good overall. However we have rated the well led key question as requires improvement because we found that some clinical patient records had not been summarised.

We found

The practice provided care in a way that kept patients safe, and protected them from avoidable harm. However, some areas related to clinical record keeping required attention.

The practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic. The practice manager had wider support from other managers in their network and additional support from the previous practice manager on an on-going basis.

Where clinical indicators demonstrated that the practice was below average (for the area/compared to England average), such as monitoring long term conditions, measures were in place to improve and this was being monitored by the provider

We found breaches of regulations and the areas where the provider must make improvements are:

  • Ensure effective systems and processes to ensure good governance are embedded and monitored.

We also found that the provider should:

  • Review and improve the arrangements for monitoring long term conditions in particular blood pressure monitoring and Chronic obstructive pulmonary disease (COPD).
  • Review and improve the system that ensured patient group directions are kept up to date.

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

12 and 13 July 2018

During an inspection looking at part of the service

This service is rated as Good overall. (Previous

inspection July 2016 – Good. In July 2016 all the population groups were rated good. The population groups were not inspected at this inspection as we only looked at the urgent treatment centre aspect of the service. The previous rating of good still apply).

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

We carried out an unannounced focused inspection at The Wolds Primary Care Practice on 12 and 13 July 2018 in response to concerns that CQC became aware of in relation the to the Urgent Treatment Centre (UTC) aspect of the service.

At this inspection we found:

• The service had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the service investigated them and identified lessons and areas for improvement.

• The provider was developing a process for clinically assessing patients within required timescales when they attended the UTC, to enable them to meet the national NHS England Urgent Treatment Centres – Principles and Standards by March 2019.

• Staff had the knowledge, skills and competence to deliver care to patients.

• The service routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.

• Staff involved and treated people with compassion, kindness, dignity and respect.

• Patients could access care and treatment for their needs from the service between the NHS England

recommended opening times.

• There was a leadership structure but staff did not feel they could always access support from the

management team.

The areas where the provider should make improvements are:

• Continue to develop the process so patients are clinically assessed in line with NHS England: Urgent

Treatment Centres – Principles and Standards’ by March 2019.

• Implement a system to monitor that access to GP advice is available to nurses/emergency practitioners when required.

• Improve communication and access between staff and the management team.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

15 July 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at City Health Care Partnership CIC - The Wolds Primary Care Practice on 15 July 2016. The practice, which provides a service to registered patients as well as a nurse led walk in service, 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.
  • The practice had arrangements in place to identify patients that were attending the minor injuries unit (MIU) with ‘red-flag’ ailments. Red-flag ailments are those that could be deteriorating health situations for example chest pains, shortness of breath and children’s health problems. New walk-in patients indicated their current health status to the receptionists on their registration at reception.
  • 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. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients said they were able to get same day appointments and pre bookable appointments were available.
  • Urgent care was available on the same day for registered patients with the GPs and for un-registered patients via the walk in service. Arrangements were in place to ensure continuity of care by referring patients back to their registered GP once their care in the minor injuries unit had been completed.
  • 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 staff and patients, which it acted on.

  • The provider was aware of and complied with the requirements of the Duty of Candour.

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

Importantly the provider should:

  • Implement a system to identify the patients with the most urgent needs through early assessment by a clinician.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice