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Archived: The Bermuda Practice Partnership Good

The partners registered to provide this service have changed - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 15 February 2021

In light of the current Covid-19, The Care Quality Commissions (CQC) has looked at ways to fulfil our regulatory obligations, respond to risk and reduce the burden placed on practices, by minimising the time inspection teams spend on site.

In order to seek assurances around potential risks to patients, we carried out a GP Focused Inspection Pilot (GPFIP) of The Bermuda Practice Partnership between 12 December 2020 and the 15 December 2020 to follow up on information of concern raised to CQC.

This report covers our findings in relation to those concerns. The inspection consisted of remote interviews and reviews of clinical records which were conducted with the consent of the provider. We focussed our inspection on the following key questions; Safe, Effective and Well-Led. We did not inspect the Caring or Responsive key questions as part of this inspection.

We have not rated the practice during this inspection as we did not visit the Provider.

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 found that:

  • The practice did not have clear systems, practices and processes to keep people safe and safeguarded from abuse.
  • The practice did not have systems for the appropriate and safe use of medicines, including medicines optimisation
  • The delivery of care and treatment was exposing patients to the risk of harm. This included evidence of actual or potential actual harm for patients.
  • Patients’ needs were not assessed, and care and treatment was not delivered in line with current legislation, standards and evidence-based guidance supported by clear pathways and tools.
  • Leaders could not demonstrate that they had the capacity and skills to deliver high quality sustainable care.
  • Responsibilities and roles were unclear and the overall governance arrangements were ineffective.

The areas where the provider must make improvements are:

  • Ensure that care and treatment is provided in a safe way.
  • Ensure patients are protected from abuse and improper treatment.
  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

Following our remote GP focused inspection pilot undertaken on 12, 13 and 15 December 2020, we issued the provider with an urgent notice of decision to impose conditions on the registration.

In line with CQC enforcement procedures, the provider is expected to implement actions to address all the issues raised within agreed timescales. The service will be kept under review and if needed could be escalated to further urgent enforcement action.

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 General Practice

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