31 August 2023
During a routine inspection
We carried out an announced comprehensive inspection at Rochdale Road Medical Centre on 31 August 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.
This was a comprehensive inspection undertaken as part of our inspection programme because the previous provider had retired and this provider registered to take over the practice.
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.
- Reviewing CQC questionnaires completed by staff.
- Conducting staff interviews in person on the day of inspection.
- 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 rated the practice Good for providing safe services. We found that:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- Staff assessed patients’ needs and delivered care in line with current evidence based practice and had the skills, knowledge and experience to deliver effective care and treatment.
We rated the practice Good for providing effective services. We found that:
- Patients received effective care and treatment that met their needs and was continually monitored.
We rated the practice Good for providing caring services. We found that:
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- Patients reported that they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
We rated the practice good for providing responsive services. We found that:
- Staff understood and fulfilled their responsibilities to raise concerns and report incidents. All opportunities for learning from incidents were maximised.
- The provider had invested in improving the building to make it more welcoming for patients and staff.
- It was noted that results from the national practice survey showed that the practice were below local and national averages. However, the practice submitted an action plan which it had developed to improve patient experience in all areas. Evidence from its own surveys showed a pro-active approach which had resulted in results showing an improved patient experience.
We rated the practice Good for providing well led services. We found that:
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
We saw the following area of outstanding practice:
- The practice had established a charity that sought to support vulnerable people in Manchester and in Pakistan. A link worker employed by the practice supported people in accessing services. The provider also had strong community links with other support services, including local food banks.
- The provider was a strong advocate for local primary health initiatives and held a programme of health education days in a variety of settings, providing insights and support for people to manage their own health in meaningful ways.
Whilst we found no breaches of regulations, the provider should:
- Take steps to improve the patient experience of accessing the practice by telephone and their satisfaction levels with appointment access, as identified in the most recent National Patient Survey.
- Continue efforts to improve uptake for the MMR childhood immunisations for 5 year olds.
- Continue to improve uptake for cervical cytology cancer screening.
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