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West Pottergate Medical Practice Good


Inspection carried out on 7 November 2019

During an inspection looking at part of the service

We carried out an inspection of this service due to the length of time since the last inspection.

Following our annual review of the information available to us, including information provided by the practice, we focused our inspection on the following key questions:

  • Are services effective?
  • Are services well-led?

Because of the assurance received from our review of information we carried forward the ratings for the following key questions:

  • Are services at this location safe?
  • Are services at this location caring?
  • Are services at this location responsive?

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 and good for all population groups.

We found that:

  • Patients received effective care and treatment that met their needs.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centred care.

We received 20 CQC Comments cards which were wholly positive about the service and showed that patients felt the practice was welcoming, caring and friendly and that staff were good at listening, professional and helpful.

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

  • Review the provision of services for the cervical cancer screening programme to improve uptake rates in line with the national target of 80% uptake.
  • Continue in efforts to review and where appropriate reduce the rates of exception reporting for people experiencing poor mental health (including people with dementia).

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

Inspection carried out on 27th July 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We conducted a comprehensive announced inspection on 27th July 2015.

Specifically, we found the practice to be good for providing safe, effective, caring, responsive and well-led services. It was also good for providing services for older people, people with long-term conditions, families, children and young people, working age people (including those recently retired and students), people living in vulnerable circumstances, and people experiencing poor mental health (including people with dementia).

Our key findings 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, addressed and shared with staff during meetings.
  • Risks to patients and staff were assessed and managed. There were risk management plans which included areas such as premises, medicines handling and administration, infection control and safeguarding vulnerable adults and children.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance.
  • Staff had received training appropriate to their roles. Staff were supervised and supported and any further training needs had been identified and planned for.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment. They told us that access to appointments with GPs and nurses was good and that they were happy with the treatments that they received.
  • Information about services and how to complain was readily available and easy to understand. Complaints were handled and responded to in line with relevant guidelines.
  • 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 sought feedback from staff and patients, which it acted on.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice