We carried out an announced comprehensive inspection at Barlow Medical Centre on 13 December 2018 as part of our inspection programme. Our inspection team was led by a CQC inspector and included a GP specialist advisor.
At the last inspection in July 2015 we rated the practice as good overall.
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 outstanding overall.
We rated the practice as outstanding for providing responsive services because:
- Services were tailored to meet the needs of individual patients. The practice used technology to enable patients to access advice and support. A range of additional inhouse services were available and services were delivered in a flexible way that ensured choice and continuity of care.
- The practice recognised the different challenges vulnerable adults and people experiencing poor mental health (including people with dementia) faced. Services were tailored to meet the needs of these population groups and these were delivered in a way to ensure effective care and treatment was delivered and monitored.
We rated the practice as outstanding for providing well-led services because:
- The culture of the practice and the way it was led and managed drove the delivery and improvement of high-quality, person-centred care.
- There was a focus of working with the local and wider community to foster, promote and deliver high quality effective integrated care.
We also rated the practice as good for providing safe, effective and caring 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. The practice monitored performance and implemented action to improve service delivery and effectiveness.
- Patients were treated patients with kindness, respect and compassion. Feedback from patients was positive about the way staff treated people.
We saw areas of outstanding practice including:
- The innovative use of electronic information systems to communicate effectively both within the practice teams, with external professionals and patients.
- The practice provided three on call GPs daily. This meant the practice had the capacity to meet patient demand for either a telephone consultation, a face to face visit or home visit.
Whilst we found no breaches of regulations, the provider should:
- Maintain a log of prescription paper allocated to each printer.
- Implement the planned review to improve exception reporting.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice