Addingham Medical Centre

We carried out an announced comprehensive inspection at Addingham Medical Centre on 20 and 21 July 2023. Following this inspection, we rated the location as good overall.

Safe - Good

Effective - Good

Caring – Good

Responsive – Good

Well-led - Good

Following our previous inspection on 7 March 2016 when this location was registered with CQC under a different provider, the practice was rated as good overall and for all key questions.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Addingham Medical Centre on our website at www.cqc.org.uk

Why we carried out this inspection

We carried out this inspection due to the change in provider for this location.

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 shorter site visit.
• Reviewing 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 have rated this practice as good overall.

We found that:

• There were systems in place to safeguard children and vulnerable adults from abuse and staff we spoke with knew how to identify and report safeguarding concerns.
• 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.
• Data indicated that patient satisfaction in relation to care was in line with or better than local and national averages for several years.
• Staff dealt with patients with kindness and respect and involved them in decisions about their care.
• Patients could access care and treatment in a timely way.
• The practice carried out a lot of work for their palliative and end of life care patients, including weekend home visits. The practice had achieved a good position on the palliative care dashboard for 2022-2023 (the palliative care dashboard employs regionally gathered statistics to identify best practice in palliative care at general practice level across the Integrated Care Board).
• The way the practice was led and managed promoted the delivery of high-quality, person-centred care.

Whilst we found no breaches of regulations, the provider should:

• Continue to take steps to improve the documentation of staff immunisation status.
• Implement systems to ensure that all significant events and complaints are recorded and analysed, and that learning is shared across the team.
• Take steps to complete and embed all remaining actions identified through risk assessments and audits, and document the actions taken.

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 Health Care