20 August 2019
During an inspection looking at part of the service
We decided to undertake an inspection of this service following our annual review of the information available to us. This inspection looked at the following key questions, is the practice effective, responsive and well-led.
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 requires improvement overall.
We have rated this practice as good for responsive because.
- The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
We have rated this practice as requires improvement for well led because:
- The leadership, governance and culture did not always support the delivery of high quality person centred care.
We did not rate the practice for effective. This is because there was limited evidence available to the Commission relating to this provider to make a judgement. There was no GP to speak to on the day of inspection, we gave them an opportunity to speak with us after the inspection but we had no response.
The areas where the provider must make improvements are:
-
Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
The areas where the provider should make improvements are:
- Continue with plans for staff appraisals.
- Continue with plans for staff safeguarding training.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care