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Inspection carried out on 6 March 2018

During a routine inspection

This practice is rated as Good overall. (Previous inspection 23/09/2015 – Good)

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

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

We carried out an announced comprehensive at Scarsdale Medical Centre on 6 March 2018 as part of our inspection programme.

At this inspection we found:

  • The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
  • The practice 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 patients with compassion, kindness, dignity and respect.
  • Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
  • There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

  • Continue to review processes to improve uptake of cervical smears.
  • Continue to review processes to improve the uptake rates for childhood vaccinations.
  • Continue to implement processes to reduce QOF exception reporting rate.
  • Implement processes to increase their numbers of identified carers in order for them to receive appropriate care and support.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 23 September 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out a comprehensive inspection of Scarsdale Medical Centre on 23 September 2015. Overall the practice is rated as good.

Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the CQC at that time.

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

  • Arrangements were in place to ensure patients were kept safe. For example, staff understood and fulfilled their responsibilities to raise concerns, and report incidents and near misses.
  • Patients’ needs were suitably assessed and care and treatment was delivered in line with current legislation and best practice guidance.
  • We saw from our observations and heard from patients that they were treated with dignity and respect and all practice staff were compassionate.
  • The practice understood the needs of their patients and was responsive to them. There was evidence of continuity of care and people were able to get urgent appointments on the same day.
  • There was a culture of learning and staff felt supported and could give feedback and discuss any concerns or issues with colleagues and management.

However, there were also areas of practice where the provider should make improvements:

  • The practice should ensure an automated external defibrillator (used to attempt to restart a person’s heart in an emergency) is available or should carry out a risk assessment to identify what action would be taken in an emergency.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice