8 May 2019
During a routine inspection
We carried out an announced comprehensive inspection at Chorleywood Health Centre on 8 May 2019 as part of our inspection programme.
We based our judgement of the quality of care provided at this service on a combination of:
- What we found when we inspected;
- Information from our ongoing monitoring of data about services;
- Information from the provider, patients, the public and other organisations.
We rated the practice as good overall and good for all population groups.
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. The practice routinely reviewed the effectiveness and appropriateness of the care it provided. Staff had the skills, knowledge and experience to deliver effective care and treatment.
- Staff involved patients in their care and treatment decisions and treated them with kindness, dignity and respect.
- The practice organised and delivered services to meet patients’ needs. 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-centred care and an inclusive, supportive environment for staff. There was a focus on continuous learning and improvement at all levels of the practice. Where we identified any concerns during our inspection, the practice took immediate action to respond and ensure any issues were resolved.
Whilst we found no breaches of regulations, the provider should:
- Adhere to the intercollegiate guidance on safeguarding competencies so that staff complete the appropriate level of safeguarding training for their roles.
- Continue to implement the newly developed practice policy and protocol on ‘was not brought’ children.
- Continue to maintain appropriate records that demonstrate staff vaccination is completed in line with current Public Health England (PHE) guidance.
- Display the appropriate sepsis guidelines in the reception area, for those staff to follow.
- Continue to maintain risk assessments where the practice’s decision is not to stock certain emergency medicines.
- Increase the provision of NHS health checks for patients aged 40 to 74 years.
- Continue to maintain an 80% or above attainment for women adequately screened for cervical cancer.
- Continue to identify and support carers in the practice population.
- Take steps so that the Patient Participation Group (PPG) is an active meeting group and fully engaged with the practice.
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.