We carried out an inspection of this service due to the length of time since the last inspection.
Following our annual review of the information available to us, including information provided by the practice, we focused our inspection on the following key questions:
- Are services at this location effective?
- Are services at this location well-led?
Because of the assurance received from our review of information we carried forward the ratings for the following key questions:
- Are services at this location safe?
- Are services at this location caring?
- Are services at this location responsive?
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 and good for all population groups.
We found that:
- Patients received effective care and treatment that met their needs.
- The way the practice was led and managed promoted the delivery of high-quality, person-centred care.
We received 54 CQC Comments cards which were wholly positive about the service and showed that patients felt that staff were polite, helpful, caring and supportive and the practice provided comprehensive care for patients.
Whilst we found no breaches of regulations, the provider should:
- Embed and monitor improvements in the provision of services for the cervical cancer screening programme to improve uptake rates in line with the national target of 80% .
- Embed and monitor improvements in the provision of services for the childhood immunisation programme to improve uptake rates in line with the world health organisation target of 95% coverage.
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