28 September 2022
During a routine inspection
We carried out an announced comprehensive inspection of the Staunton Group Practice (the practice) involving a site visit on 28 September 2022. The service is operated by the Hurley Clinic Partnership (the provider).
Overall, the practice is rated as Requires improvement.
Safe - Good
Effective - Requires improvement
Caring - Good
Responsive - Good
Well-led - Requires improvement
Why we carried out this inspection
We carried out this inspection in line with our inspection priorities. It was the first comprehensive inspection following the service being registered on 28 January 2022, the provider having taken over the service in November 2021.
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 remote 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 site visit.
- Seeking feedback from staff by CQC 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.
- Information from the provider, patients, the public and other organisations.
We found that:
- People were at risk of not receiving effective care or treatment. We identified a number of patients whose monitoring, reviews and testing was not in accordance with established good practice guidelines.
- Staff satisfaction was mixed. Staff did not always feel actively engaged or empowered.
- People were protected from avoidable harm and abuse.
- People are supported, treated with dignity and respect, and are involved as partners in their care.
- People’s needs are met through the ways services are organised and delivered.
We found one breach of regulations. The provider must:
- Ensure care and treatment is provided in a safe way to patients.
In addition, the provider should:
- Continue working to improve the uptake of childhood immunisations and cervical cancer screening.
- Continue working to improve patient satisfaction relating to Caring and Responsive aspects of the service.
- Continue working to engage, involve and empower members of staff.
- Continue working to fully engage with the Patient Participation Group.
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