• Doctor
  • GP practice

Clanricarde Medical Centre

Overall: Good read more about inspection ratings

Abbey Court, 7-15 St Johns Road, Tunbridge Wells, Kent, TN4 9TF (01892) 546422

Provided and run by:
The Wells Medical Practice

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Clanricarde Medical Centre on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Clanricarde Medical Centre, you can give feedback on this service.

5 September 2019

During an annual regulatory review

We reviewed the information available to us about Clanricarde Medical Centre on 5 September 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

9 January 2018

During a routine inspection

Letter from the Chief Inspector of General Practice

This practice is rated as Good overall. (Previous inspection September 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 inspection at Clanricarde Medical Centre on 9 January 2018, under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

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 patients in their care and treated them 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 ensure that fridge temperatures are routinely monitored and recorded.

  • Continue with their plan to help ensure health checks for patients with learning disabilities are offered.

  • Continue to ensure that minutes of multi-disciplinary meetings are maintained.

  • Continue with their plan to help ensure that one set of policies and procedures are implemented.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

22 September 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at the Clanricarde Medical Centre on 22 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 the areas we inspected were as follows:

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed. Though some staff where not clear to whom and by what route some incidents should be reported. Risks to patients were assessed and well managed.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance. The Quality and Outcomes framework results for the practice showed a consistently positive and improving patient outcomes which was against a national trend. Staff had received training appropriate to their roles and some further training needs had been identified and planned.
  • The practice’s uptake for the cervical screening programme was excellent. It had bettered the national performance each year over the last nine years by between by between 14% and 17%.
  • 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.
  • Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
  • 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.

We saw several areas of outstanding practice namely:

  • The practice had encouraged different providers and clinics to the practice that enabled patients to receive a wide range of holistic care and treatments which were not usually available at a single site
  • Data showed that the practice’s performance in monitoring and maintaining the health of patients with long-term conditions and those experiencing poor mental health was significantly better than that achieved nationally or locally. Where national and local performance had fallen slightly in the management of these conditions, this practice had maintained or improved its performance.

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

  • The practice should review arrangements at the reception area to try and improve patient confidentiality
  • Review communication to try and improve staff’s knowledge of the practice’s vision and policies.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

22 May 2014

During a routine inspection

Clanricarde Medical Centre is situated at Abbey Court, 7-15 St John’s Road, Tunbridge Wells, Kent, TN4 9TF.

The practice is registered to provide the following regulated activities.

  • Diagnostic and screening procedures
  • Family planning services
  • Maternity and midwifery services
  • Surgical procedures
  • Treatment of disease, disorder or injury

We spoke with 14 patients on the day of our inspection. Patients considered their health care needs were met and they were usually able to book an appointment at a time convenient for them. They said that staff respected their privacy and dignity and they were involved in decision making.

Overall the practice was responsive to individual patients needs and provided positive outcomes, but further improvements were needed in some areas, such as telephone access.

There was a system to carry out regular clinical audits, and the results were discussed at clinical meetings. Improvements were made if needed and were monitored so that care and treatment was planned and delivered in line with best practice.

There were suitable procedures in place to identify and report concerns if staff considered a patient was at risk of being abused.

There was a clear strategy in place for clinical governance arrangements, but improvements were needed on overall governance of the service provided.

There was an active Patient Participation Group who considered they were listened and responded to when they suggested areas for improvement; even if the improvements could not be made.

Staff were not formally asked for their feedback in a survey, but considered they were able to raise any issues with the practice manager or GPs. Although training for all staff was in place, there was no information on how often training should occur and whether this had been planned for.