Warwick Square Group Practice

Updated 11 July 2022

Warwick Square Group Practice is registered with CQC to provide Primary Medical Services to patients from two locations:

• The main location - Warwick Square, Carlisle, Cumbria, CA1 1LB.
• And a branch surgery - The Morton Surgery, Langrigg Road, Carlisle, Cumbria, CA2 6DT.

We visited the main location as part of this inspection.

The provider is registered with CQC to deliver the Regulated Activities: diagnostic and screening procedures; treatment of disease, disorder or injury; maternity and midwifery services; family planning; and surgical procedures.

The practice is situated within the NHS North Cumbria Clinical Commissioning Group (CCG) and delivers General Medical Services (GMS) to about 7,700 registered patients. This is part of a contract held with NHS England.

Opening times are 8.00am to 6.30pm Monday to Friday.

Information taken from Public Health England places the area in which the practice is in the fourth most deprived decile. In general, people living in more deprived areas tend to have greater need for health services. The practice’s age distribution profile is weighted towards a slightly older population than national averages. There are more patients registered with the practice over the age of 65 years than the national average.

The practice is part of a wider network of GP practices and is a member of a Primary Care Network (PCN). Out of hours services are provided by NHS 111 and Cumbria Health on Call (CHoC).

Updated 11 July 2022

We carried out an announced inspection at Warwick Square Group Practice on 20 and 21 June 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 Warwick Square Group Practice 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.
• Staff questionnaires
• 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 engagement with staff

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