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Inspection Summary

Overall summary & rating


Updated 15 May 2019

This practice is rated as Good overall. At the previous inspection in August 2015, the practice was rated as Outstanding overall.

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

We carried out an announced comprehensive inspection at Firs House Partnership on 18 March 2019 as part of our inspection programme.

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 concluded that:

  • Patients were able to access care and treatment in a timely way.
  • Quality Outcomes Framework data was generally in line, or above, local and national averages. However, exception reporting data was higher than both the CCG and England averages in indicators such as mental health.
  • Feedback from patients was positive about the practice, including the staff team.
  • Members of staff we spoke with were positive about working at the practice and the support provided by the leadership team.
  • The practice worked closely with the local community and implemented a number of activities to support the population and provide health and lifestyle advice.
  • The practice worked effectively with their Patient Participation Group (PPG) and undertook a number of engagement activities.

At the previous inspection in August 2015 the practice was rated as Outstanding for providing responsive and well led services. At this inspection we have rated the practice as good for providing responsive and well led services as we found the practice had sustained these areas but had not further improved and developed them. These services that had been identified as outstanding services have been adopted as good practice across the wider primary care system.

The areas where the provider should make improvements are:

  • Review and improve the management of sharps waste management.
  • Continue to review and improve the exception reporting rate for QOF mental health indicators where appropriate.
  • Review and improve the process for handling safety alerts to ensure all actions are recorded.
  • Review and improve the number of learning disability health checks provided.
  • Review and improve the practice’s performance in childhood immunisations.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BS BM BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Inspection areas










Checks on specific services

People with long term conditions


Families, children and young people


Older people


Working age people (including those recently retired and students)


People experiencing poor mental health (including people with dementia)


People whose circumstances may make them vulnerable