09 November 2023
During a routine inspection
We carried out an announced comprehensive inspection at Baildon Medical Practice on 9 and 10 November 2023. Following this inspection, we rated the location as good overall.
Safe – Requires Improvement
Effective - Good
Caring – Good
Responsive – Good
Well-led - Good
Following our previous inspection on 20 October 2015, 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 Baildon Medical Practice on our website at www.cqc.org.uk
Why we carried out this inspection
We carried out this inspection in line with our inspection priorities.
How we carried out the inspection/review
This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.
This included:
- Conducting staff interviews using video conferencing.
- Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
- Reviewing patient records to identify issues and clarify actions taken by the provider.
- Requesting evidence from the provider.
- A shorter site visit.
- Reviewing staff questionnaires.
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 have rated this practice as good overall.
We found that:
- Patients received effective care and treatment that met their needs.
- There were systems in place to safeguard children and vulnerable adults from abuse and staff we spoke with knew how to identify and report safeguarding concerns.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- Patients could access care and treatment in a timely way.
- Data from the National GP Patient Survey 2023 showed that patient satisfaction results for the practice were higher than local and national averages.
- The practice had achieved good prescribing outcomes as some of their prescribing was below local and national averages.
- The way the practice was led and managed promoted the delivery of high-quality, person-centred care.
Whilst we found no breaches of regulations, the provider should:
- Improve the oversight and management of premises and health and safety requirements.
- Take steps to improve procedures for medicines management and patient reviews.
- Take action to ensure that relevant staff members undertake fire marshal training.
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 Health Care