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Inspection Summary


Overall summary & rating

Good

Updated 24 February 2020

We previously carried out an announced comprehensive inspection at Vine Medical Group on 14 and 15 November 2018 as part of our inspection programme. The practice was rated as requires improvement for safe, effective and caring, and for all population groups. This meant the practice was rated requires improvement overall. We issued two requirement notices for Regulation 18: Staffing and Regulation 19: Fit and proper persons employed.

This inspection on 16 and 17 December 2019 was an announced comprehensive inspection to follow up on the breaches of regulation and as part of our inspection schedule where services rated as requires improvement are subject to re-inspection within 12 months.

This inspection looked at the following key questions:

  • Are services safe?
  • Are services effective?
  • Are services caring?
  • Are services responsive?
  • Are services well-led?

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 have rated this practice as Good overall. During our previous inspection we rated responsive and well led as Good. During this inspection we rated safe, effective, caring and responsive as Good. We rated all population groups as Good apart from older people which we rated as Outstanding and long term conditions which we rated at Requires Improvement. We rated well led as Outstanding.

We rated the practice as Outstanding for providing well led services because:

  • Comprehensive and successful leadership strategies were in place to ensure delivery and to sustain and build upon the desired culture.
  • There was compassionate and inclusive leadership.
  • Throughout every key question we found the practice had not just addressed an identified issue but had implemented further improvements, putting patients at the heart of every they did, whilst appreciating and valuing their staff.
  • There was a strong quality improvement culture. Staff reported they worked in a supportive environment where they were encouraged to develop and take ownership of new ideas and projects.
  • The consistency of systems and processes across sites was evident through all aspects of the inspection and contributed to the ‘one team one goal’ culture. This had been achieved with a large number of staff working across multiple sites.
  • Rigorous and constructive challenge from the public, staff and other stakeholders was welcomed and seen as a vital way of holding services to account.

We rated the practice as good for providing safe, effective, caring and responsive services because:

  • The practice had clear systems, practices and processes to keep people safe and safeguarded from abuse.
  • The practice had systems for the appropriate and safe use of medicines, including medicines optimisation
  • The practice learned and made improvements when things went wrong.
  • Patients’ needs were assessed, and care and treatment was delivered in line with current legislation, standards and evidence-based guidance supported by clear pathways and tools.
  • The practice had a comprehensive programme of quality improvement activity and routinely reviewed the effectiveness and appropriateness of the care provided.
  • The practice was able to demonstrate that staff had the skills, knowledge and experience to carry out their roles.
  • Staff worked together and with other organisations to deliver effective care and treatment.
  • The practice respected patients’ privacy and dignity.
  • The practice organised and delivered services to meet patients’ needs
  • People were able to access care and treatment in a timely way.

The areas where the provider should make improvements are:

  • Implement infection control audit measures across all sites and infection control risk assessments at the Westbrook site.
  • Continue to find ways of reducing exception reporting for long term conditions and cervical screening.
  • Improve the availability of information material for patients in languages other then English.

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 General Practice

Inspection areas
Checks on specific services

People with long term conditions

Requires improvement

Families, children and young people

Good

Older people

Outstanding

Working age people (including those recently retired and students)

Good

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good