We had previously carried out an announced comprehensive inspection in October 2017, the practice was rated good for all domain and population groups at that time. The report for the comprehensive inspection can be found by selecting the ‘reports’ link for The Practice @ 188 on our website at: https://www.cqc.org.uk/location/1-2464509211/reports
We received concerns about the population group ‘older people’ from third parties. To ensure the care of older people was in line with the good rating the practice received in October 2017, we carried out an announced focused inspection at The Practice @ 188 on 13 November 2018 to review the care of older people. The practice were open and transparent during the inspection process.
We reviewed the population group ‘older people’ against the key questions:
Are services safe?
Are services effective?
Are services caring?
Are services responsive?
Are services well-led?
We found no patient safety concerns when reviewing this population group. We did find areas of good practice and we found the population group ‘older people’ was in line with the good rating awarded in October 2017.
Our key findings across all the areas we inspected were as follows:
- The practice had effective systems to manage medicines for older people including high risk medicines.
- The practice routinely reviewed the effectiveness and appropriateness of the care it provided for older people. It ensured that care and treatment was delivered according to evidence- based guidelines.
- Staff involved and treated older people with compassion, kindness, dignity and respect.
- Learning from incidents was identified and shared widely enough to result in improved outcomes for patients.
- Medical records we reviewed for older people were comprehensive and in line with General Medical Council guidelines.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.