We carried out an announced inspection at Prima Care Surgeries Foden Street Branch Site on 22 March 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
This inspection was a routine comprehensive rating inspection with a site visit.
The focus of inspection included:
- Safe, Effective, Caring, Responsive and Well-led domains.
How we carried out the inspection/review
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. Patients could access care and treatment in a timely way.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
Whilst we found no breaches of regulations, the provider should:
- Develop a strategy for non-compliant patient attendance when required for medicines and/or long-term condition monitoring
- Improve maintenance of all staff recruitment records and any gaps found appropriately followed up.
- Continue to improve cervical and cancer screening uptake.
- Continue to improve the uptake of childhood immunisations.
- Maintain oversight and continue to monitor and review patient feedback on access
- Persist in encouraging the reformation of a Patient Participation Group.
- Provide the next steps patients may choose to take within complaint investigation outcome letters.
- Develop, monitor and evaluate a documented practice strategy
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