We carried out an announced comprehensive inspection at Hodge Hill Family Practice on 18 November 2022. Overall, the practice is rated as Good.
Safe - Good
Effective - Good
Caring - Good
Responsive - Good
Well-led - Good
Why we carried out this inspection
We carried out an announced comprehensive inspection at Hodge Hill Family Practice as part of our inspection programme and to provide a rating for the service, as it had not been inspected before.
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 (this was with consent from the provider and in line with all data protection and information governance requirements).
- 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 had systems in place to keep patients safe and staff were all trained in safeguarding principles and processes.
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- The practice had systems in place to manage medicines safely.
- 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.
- Staff were supported appropriately and told us they worked in an environment that was open so felt they could approach managers when needed.
- Patients accessed care and treatment in a timely way.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
- The practice managed patients with long term conditions effectively.
- We found where child immunisation targets were lower that expected the practice were already working with patients through their action plan to improve these targets.
- We found that the practice had developed services to meet the needs of their patients
- The PPG told us that service had improved since the provider had changed and patients could generally access a GP.
- The practice had policies and systems in place so incidents, accidents and significant events could be learned from as part of improving patient care.
- The practice monitored how it performed so where improvements were needed this could be done.
We found no breaches of regulations. The provider should:
- Continue to increase the uptake of childhood immunisations.
- Continue to increase the uptake for cervical, breast and bowel cancer screening.
- Continue to improve patient satisfaction in relation to patient surveys results.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services