26 April & 5 May 2023
During a routine inspection
We carried out an announced comprehensive inspection at Guiseley and Yeadon Medical Practice on 26 April and 5 May 2023. 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 this inspection in line with our inspection priorities. This was the first inspection of this provider since they registered with the Care Quality Commission.
This inspection was a comprehensive inspection, therefore we inspected of the following key questions:
Safe
Effective
Caring
Responsive
Well-led
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.
- Staff questionnaires.
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 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 had systems in place to ensure patients with urgent clinical needs could be prioritised.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
- The provider was committed to developing services to meet the needs of the local population.
- The provider was committed to supporting staff health and wellbeing.
Whilst we found no breaches of regulations, the provider should:
- Review the arrangements for senior leadership presence at the practice and address the concerns raised regarding the process of sharing learning from significant events with the wider practice team and clincal leadership to support the management of difficult cases.
- Improve the identification of patients who also act as a carer.
- Undertake appraisals for non-clinical staff.
- Continue to monitor and improve access and patient satisfaction.
- Improve engagement and feedback with the patient participation group.