The Care Quality Commission
  • Doctor
  • GP practice

The Tutbury Practice

Overall: Good read more about inspection ratings

Tutbury Health Centre, Monk Street, Tutbury, Burton On Trent, Staffordshire, DE13 9NA (01283) 812210

Provided and run by:
The Tutbury 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 The Tutbury Practice 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 The Tutbury Practice, you can give feedback on this service.

14 and 17 May 2021

During an inspection looking at part of the service

We carried out an announced review at The Tutbury Practice on 14 and 17 May 2021. Following our review of the information available to us, including information provided by the practice, we focused our inspection on the following key question: safe. Due to assurances we received from our review of information, we carried forward the ratings for the following key questions: effective, caring, responsive and well-led from our last inspection in July 2019. Overall, the practice is rated as Good. It is rated as good in safe, effective, caring, responsive and well-led, as well as in all of the population groups.

Following our previous inspection on 24 July 2019, the practice was rated Good overall and for key questions effective, caring, responsive and well-led. It was rated requires improvement for key question safe. We also rated the population group people whose circumstances make them vulnerable as requires improvement.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for The Tutbury Practice on our website at www.cqc.org.uk

Why we carried out this review

This review was a review of information without undertaking a site visit inspection to follow up on:

  • Safe domain
  • The breach of regulations identified in the previous inspection
  • Ratings were carried forward from the previous inspection which included the effective, caring, responsive and well led domains.

How we carried out the review

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 reviews differently.

This review was carried out in a way which did not involve visiting the practice. 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
  • Requesting evidence from the provider

Our findings

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we carried out the desk-based review
  • 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:

  • The practice had actioned and put measures in place to comply with the Regulatory breach.
  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Systems had been put in place to identify vulnerable children and adults on the electronic patient records, and to link family members where a safeguarding issue was identified.
  • Recruitment of locum GPs had been improved and the required recruitment checks had been carried out.
  • Systems were in place to ensure up to date blood tests were available prior to prescribing a specific high risk medicine.
  • The emergency medicines held at the practice had been reviewed and risk assessments in place to support the decision not to hold certain medicines.

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

  • Consider using read codes to assist when searching for specific blood results relating to high risk medicines.

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

24 July 2019

During an inspection looking at part of the service

We carried out an announced inspection at The Tutbury Practice on 24 July 2019. The announced inspection was part of our inspection programme.

We decided to undertake an inspection of this service following our annual review of the information available to us. This inspection looked at the following key questions:

  • Safe
  • Effective
  • Caring
  • 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.

We rated the practice as requires improvement for providing safe services because:

  • The systems, processes and practice that helped to keep patients safe and safeguarded from abuse were insufficient.
  • There was a gap in the process for monitoring patients’ health in relation to the use of medicines to reduce the risk of a blood clot.
  • There were gaps seen in the recruitment process for locum GPs.

We rated the practice as good for providing effective services because:

  • 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.

We rated the practice as good for providing a caring service because:

  • Patients reportedly positively on being treated with care and concern and had confidence and trust in the healthcare professional they saw or spoke to.
  • The practice National GP Survey results were above the local clinical commissioning group and England averages.
  • Carers were further supported by a member of staff appointed as the practice Carer Lead. Together with the practice and practice patient forum they provided an annual carer event attended by over 50 patients including patients attending from other practices. The number of carers registered at the practice represented 2.5% of the registered patient population.
  • There was a strong person-centred culture.
  • The practice patient forum had achieved recognition in the form of an award for the East Staffordshire Volunteering Support for Young People by a Team or Individual in 2019.

We rated the practice as good for providing a well led service because:

  • The practice had developed an action plan to meet the needs of its registered population whilst bearing in mind the aims and objectives of the wider health economy.
  • Identified gaps in the practice governance processes had been proactively managed to reduce risk and to develop sustainable care. However, some areas we reviewed in providing a safe service required further clinical oversight.

These areas affected all population groups, so we rated all population groups as good, except for families, children and young people which was rated requires improvement in effective and therefore rated as requires improvement overall.

The areas where the provider must make improvements as they are in breach of regulations are:

  • Ensure that care and treatment is provided in a safe way.

(Please see the specific details on action required at the end of this report).

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

15 Ocotber 2014

During a routine inspection

Letter from the Chief Inspector of General Practice

We inspected this service on 15 October 2014 as part of our new comprehensive inspection programme. This provider had not been inspected before and that was why we included them.

The overall rating for this service is good. We found the practice to be good in the safe, responsive caring, effective and well led domains. We found the practice provided good care to older people, people with long term conditions, people in vulnerable circumstances, families, children and young people, working age people and people experiencing poor mental health.

Our key findings were as follows:

  • Patients were kept safe because there were arrangements in place for staff to report and learn from key safety risks. The practice had a system in place for reporting, recording and monitoring significant events over time.
  • The practice could demonstrate improved outcomes for patients through the use of a comprehensive range of clinical audits.  
  • The practice had introduced ‘dual clinics’ so patients with more than one long term condition were assessed for all of them at a single appointment rather than being recalled separately for each condition.
  • The partners provided strong and clear leadership which had led to a committed and motivated staff group.
  • The practice was responsive to its different patient groups and patients were overwhelmingly satisfied with the service they received.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice