We carried out an announced comprehensive inspection at Bean Road Medical Practice on 8 September 2022. Overall, the practice is rated as good.
Safe - good
Effective - good
Caring - good
Responsive - requires improvement
Well-led - good
Why we carried out this inspection
This inspection was a comprehensive inspection following changes to the provider’s registration and included the safe, effective, caring, responsive and well-led key questions.
How we carried out the inspection
This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.
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 with the exception of responsive which we rated as requires improvement.
We found that:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- Our review of clinical records found medicines were generally well managed, with the exception of management of an older safety alerts, which were actioned by the provider once we informed them.
- The practice continually reviewed and monitored the effectiveness of their services.
- Feedback from patients was mixed about how staff dealt with patients, however the practice had taken action to address this.
- Patients reported difficulties accessing care and treatment in a timely way. The partnership and management team were aware of these concerns and plans were in place to address this.
- Staff had the skills, knowledge and experience to carry out their roles effectively.
- The culture of the practice drove the delivery and improvement of high-quality, person-centred care. Staff worked together to help deliver improvements, in particular to improve the patient experience.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
- The practice learned from incidents, events and complaints and ensured learning was shared among the staff team.
- We found the premises were well maintained, appeared clean and tidy and had appropriate infection prevention and control arrangements in place.
- Patients mostly received effective care and treatment that met their needs. Our review of clinical records found effective systems were in place for follow up and monitoring of patients with long term conditions.
Whilst we found no breaches of regulations, the provider should:
- Continue to strengthen processes for the reviewing of long term condition monitoring.
- Improve the uptake of childhood immunisations and cervical cancer screening.
- Continue to strengthen processes to improve patient satisfaction for caring and responsive services.
- Continue to implement and monitor the action plan to improve access for patients.
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