Archived: Gun Lane Medical Practice

This practice is rated as Good overall.

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

The full comprehensive report can be found by selecting the ‘all reports’ link for Gun Lane Medical Practice on our website at www.cqc.org.uk.

Why we carried out this inspection:

We carried out an announced inspection at Gun Lane Medical Practice on 10 May 2022 under Section 60 of the Health and Social Care Act 2008, as part of our regulatory functions. The inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

How we carried out the inspection:

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was in line with all data protection and information governance requirements.

This included:

• Completing clinical searches on the practice’s patient records system and discussing findings with the provider
• Requesting evidence from the provider
• A short site visit

Our judgement of the quality of care at this service is based 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.

Our findings:

We have rated this practice as Good overall.

• The practice’s systems, practices and processes kept people safe and safeguarded from abuse.
• There were systems and processes to help maintain appropriate standards of cleanliness and hygiene.
• Risks to patients, staff and visitors were assessed, monitored or managed effectively.
• Staff had the information they needed to deliver safe care and treatment.
• The arrangements for managing medicines kept patients safe.
• The practice learned and made improvements when things went wrong.
• Patients’ needs were assessed, and care as well as treatment were delivered in line with current legislation, standards and evidence-based guidance.
• Staff had the skills, knowledge and experience to carry out their roles.
• Staff treated patients with kindness, respect and compassion.
• Staff helped patients to be involved in decisions about their care and treatment.
• People were able to access care and treatment in a timely way.
• Feedback about the practice was in line with local and England averages.
• The practice involved the public, staff and external partners to help ensure they delivered high-quality and sustainable care.

The areas where the provider should make improvements are:

• Consider revising practice systems so that they always alert staff to family and other household members of children on the risk register.
• Continue with plans for staff to receive up to date basic life support training (theoretical and practical).
• Continue with plans to improve antibiotic prescribing where required.
• Consider revising practice systems to ensure that all prescribing of high-risk medicines continues to follow relevant best practice guidance.
• Continue to act on and learn from all safety alerts.
• Consider revising practice systems to ensure that all reviews of patients with long-term conditions continue to follow relevant best practice guidance.
• Continue with plans to improve uptake of the cervical screening programme by relevant patients.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Please refer to the detailed report and the evidence tables for further information.