We carried out an announced inspection at Lowther Medical Centre on 11 and 13 April 2022. Overall, the practice is rated as Good.
The ratings for each key question are:
Safe - Good
Effective - Good
Caring - Good
Responsive - Good
Well-led - Good
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Lowther Medical Centre on our website at www.cqc.org.uk
Why we carried out this inspection
This inspection was a comprehensive inspection to rate the practice following a change to their registration with CQC. This was therefore the first rated inspection of the service under this provider.
How we carried out the inspection
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 inspections differently.
This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. 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.
- Reviewing patient records to identify issues and clarify actions taken by the provider.
- Requesting evidence from the provider.
- A short site visit.
Our findings
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 found that:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- Patients received effective care and treatment that met their needs.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- The practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
Whilst we found the practice was not in breach of regulations, the provider should:
- Continue to develop and improve access to the service for their patients.
- Make sure staff are up to date with training relevant to their role.
- To review and improve the analysis and sharing of learning from significant events in an attempt to reduce the likelihood of recurrence.
We saw several areas of outstanding practice.
- The provider understood the importance of gathering and analysing data in order to ensure that patients received optimal care. They believed they could have a direct effect on the lifespan and health of patients living in the area served by Lowther Medical Centre. We saw several examples of the impact this was beginning to have, which can be found within the Evidence Table. In addition, their not-for-profit business model allowed them to invest in the health and well-being of the community.
- During lockdown the practice set up “Operation Alec”, a programme to support vulnerable and socially isolated patients who lived alone. Staff delivered resources to over 100 patients to support their mental good health. Social prescribers at the practice worked with the patient participation group (PPG) and local schools to contact isolated patients and keep them company. During the inspection we saw moving examples of the highly positive impact this had had on these patients’ wellbeing.
- A GP from the practice led the response to the initial Covid-19 outbreak in local care homes. Working with the provider, they initiated testing for all staff and patients at a care home where an outbreak had led to 11 deaths, identifying 17 positive cases out of 29 asymptomatic residents, and 20 positive cases out of 60 staff. Staff and residents who tested positive could be isolated, halting the continued spread of infection in the care home and preventing further deaths. This approach was then replicated across all care homes in the county.
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