We carried out an announced comprehensive inspection at Welbeck Road Health Centre on 4 November 2019 as part of our inspection programme.
We carried out an inspection of this service due to the length of time since the last inspection. The previous inspection took place in October 2014 and the report can be found on our website at . The practice was previously rated as outstanding overall because the responsive and well-led domains were rated as being outstanding.
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.
At this inspection, we have rated the practice as good overall. The practice was rated as outstanding for providing responsive services, and good for providing safe, effective, caring and well-led services. The population groups of older people, families children and young people, people whose circumstances make them vulnerable, and people experiencing poor mental health (including those with dementia) were rated as outstanding. The population group of working age people was rated as good, whilst long-term conditions was rated as requires improvement due to having high level of exception reporting for diabetes indicators in their QOF data, as well as low performance in the asthma indicators.
We rated the practice as outstanding for providing responsive services because:
- Patients’ individual needs and preferences were central to the planning and delivery of tailored services. The services were flexible, provided choice and ensured continuity of care.
- The involvement of other organisations and the local community was integral to how services were planned and ensured that services met people’s needs. There were innovative approaches to providing integrated person-centred pathways of care that involved other service providers, particularly for people with multiple and complex needs.
- There was a proactive approach to understanding the needs of different groups of people and to deliver care in a way that met these needs and promoted equality.
- People could access appointments and services in a way and at a time that suited them. The national GP patient survey demonstrated that the practice had performed higher than local and national averages in relation to the questions related to providing a responsive service. This was reinforced by positive feedback from patients who used this service.
We rated the practice as good for providing safe, effective, caring and well-led services because:
- 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 treated patients with kindness and respect and involved them in decisions about their care.
- The way the practice was led and managed promoted the delivery of good quality, person-centre care.
The areas where the provider should make improvement:
- The practice should continue to complete the collation of evidence of their practice team’s immunisation status.
- The practice should review its system for checking stocks of medicines and ensure that they are always stored in line with guidance.
- The practice should complete the notes summarisation process pre-2010 for patients with incomplete electronic records.
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