Olive Medical Practice

Ratings

• Overall

  Inadequate

• Safe

  Inadequate

• Effective

  Requires improvement

• Caring

  Requires improvement

• Responsive

  Requires improvement

• Well-led

  Inadequate

Our view of the service

Date of Assessment: 7 July 2025 to 10 July 2025. Olive Medical Practice is a GP practice and delivers services to approximately 7672 patients under a contract held with NHS England. The National General Practice Profiles states that 68% of patients are Asian, 27% White, and 5% Black, Mixed or Other. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the 2nd decile (2 of 10). The lower the decile, the more deprived the practice population is relative to others. This assessment considered the demographics of the people using the service, the context the service was working within and how this impacted service delivery. Where relevant, further commentary is provided in the quality statements section of this report.

SAFE: Learning culture was not embedded to promote openness and ensure lessons were learned. Incidents were not always investigated thoroughly. Not all the required staff checks took place. We found issues with the management of medicines. The facilities and equipment did not meet the needs of people. Risks had not been identified by the provider and so had not been mitigated.

EFFECTIVE: Systems did not ensure that staff were up to date with or followed national guidance. People were involved in assessments of their needs. The system for making Do Not Attempt Cardio-pulmonary Resuscitation (DNACPR) did not allow for decisions to be reviewed or check they had been made appropriately. National GP Patient Survey results were below average in this area.

CARING: People were usually treated with kindness and compassion, but there were issues with the privacy of patients. Staff protected their privacy and dignity. They treated them as individuals and supported their preferences. People had choice in their care and treatment. The service supported staff wellbeing. National GP Patient Survey results were below average in this area.

RESPONSIVE: Complaints were not effectively or consistently managed; there was no clear guidance for staff to follow. People were involved in decisions about their care. The service provided information people could understand. People received fair and equal care and treatment. National GP Patient Survey results were below average in this area.

WELL-LED: Leaders at all levels did not fully understand the context in which they delivered care, treatment and support. They did not show they had the skills, knowledge, or experience to lead effectively. The practice did not have clear responsibilities, roles, systems of accountability and good governance. Risks had not been identified, and risks that had been highlighted to the practice had not been acted on.

We found breaches of regulation in relation to safe care and treatment, good governance and fit and proper persons employed.

This service is being placed into special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we use our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.

People's experience of this service

As part of our assessment, we asked the practice to share CQC’s Give Feedback on Care webform with people who had used the service in the last 12 months. We received no feedback from patients.

Recent survey results, including from the National GP Patient Survey and the NHS Friends and Family Test, showed people were not satisfied with services. There was no Patient Participation Group (PPG) to represent the views of people using the service.