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Inspection Summary


Overall summary & rating

Good

Updated 13 January 2020

We carried out an inspection at PHGH Doctors on 20 November and 19 December 2019. This was a focussed inspection following our Annual Regulatory Review programme.

The practice was first inspected in September 2015. We rated the practice good for providing an effective, caring, responsive and well led service and requires improvement for providing a safe service. We rated all the population groups as good and the practice as good overall. We found that the provider had breached two regulations of the Health and Social Care Act 2008; Regulation 12(2)g safe care and treatment in regards to medicines management and Regulation 19 fit and proper persons employed resulting from incomplete pre employment checks. We carried out a follow up focussed inspection in November 2016 and found that these issues had been addressed. We rated the practice as good for providing a safe service and good overall.

This inspection focused on the following key questions:

  • Effective
  • Well-led

Because of the assurance received from our review of information we carried forward the ratings for the following key questions:

  • Safe
  • Caring
  • Responsive

At this inspection 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 and good for all population groups.

We found that:

  • Patients received effective care and treatment that met their needs.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

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

  • Continue to look at ways to improve the uptake of the childhood immunisation and cervical screening programmes.

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

Inspection areas

Safe

Good

Effective

Good

Caring

Good

Responsive

Good

Well-led

Good
Checks on specific services

People with long term conditions

Good

Families, children and young people

Good

Older people

Good

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