We carried out an announced comprehensive inspection of St Marks Medical Centre from 20-23 September 2022. Overall, the practice is rated as good.
Safe - good
Effective - good
Caring - requires improvement
Responsive - good
Well-led - good
Following our previous inspection on 23 May 2019, the practice was rated good overall and for all key questions.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for St Marks Medical Centre on our website at www.cqc.org.uk
Why we carried out this inspection
This comprehensive inspection was triggered by concerns raised at a recent inspection one of the provider’s other practices, Lady Margaret Road Medical Centre which is separately registered with CQC. This inspection of St Marks Medical Centre was a comprehensive inspection covering all the key questions:
How we carried out the inspection
This inspection was carried out using the following methods:
- Face to face and remote staff interviews.
- Patient interview.
- Completing clinical searches on the practice’s patient records system
- Reviewing patient records to identify issues and clarify actions taken by the provider.
- Requesting evidence from the provider.
- A 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 found that:
- 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.
- Staff were committed to dealing with patients with kindness and respect. However patient feedback about their experience had declined and was below local and national norms.
- Patients could access care and treatment in a timely way.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
Whilst we found no breaches of regulations, the provider should:
- Improve patient satisfaction with interactions with staff and involvement in decisions about care.
- Take action to improve cervical screening coverage and tackle any local barriers to uptake.
- Take action to improve childhood immunisations to meet the national targets for all age cohorts.
- Take action to encourage patients to participate in other cancer screening programmes.
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 Hospitals and Interim Chief Inspector of Primary Medical Services