We carried out a review of the data available to us about Paxton Green Group Practice on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Paxton Green Group Practice, you can give feedback on this service.
We carried out an announced comprehensive inspection at Paxton Green Group Practice on 31 January 2019 as part of our inspection programme. The practice had been previously rated as good when we carried out the first inspection in November 2015. Our inspection team was led by a Care Quality Commission (CQC) Inspector and included a GP specialist advisor.
Our judgement of the quality of care at this service is based 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.
This means that:
• Patients were protected from avoidable harm and abuse and that legal requirements were met.
• Patients had good outcomes because they received effective care and treatment that met their needs.
• Patients were supported, treated with dignity and respect and were involved as partners in their care.
• People’s needs were met by the way in which services were organised and delivered.
• The leadership, governance and culture of the practice promoted the delivery of high quality person-centred care.
We rated the practice as outstanding for providing responsive services because there were innovative approaches to providing integrated person-centred care including:
We rated the population groups as good with the exceptions of both Older People and People experiencing poor mental health (including those with dementia) which were rated outstanding. This is because the practice had introduced additional services, as described above, which focused on ensuring appropriate and timely support for these groups of patients. The practice also made additional efforts to provide continuity of care for these groups.
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
We carried out an announced comprehensive inspection at Paxton Green Group Practice on 30 November 2015. Overall the practice is rated as good.
Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the CQC at that time.
Our key findings across all the areas we inspected were as follows:
We saw several areas of outstanding practice:
The practice set up a drop-in service for older patients who wanted to socialise with and engage in a range of activities with their peers. The drop-in was started after staff identified that isolated older patients attended the practice solely seeking social interaction.
The practice provided food vouchers to patients facing serious financial difficulties, which allowed them access to a hot meal on the day, temporary food and sanitary supplies and access to local support groups to help them improve their circumstances.
The practice set up a local time bank in 2011 for isolated patients and those living with depression to encourage social interaction. The practice had received very positive feedback from patients including comments that the time bank had had a positive impact on their feeling of purpose.
However, there are areas where the provider should make improvements.
The provider should:
Ensure staff follow the protocol for reading and actioning alerts received.
Ensure there is a system in place to record that medicines in the doctor’s bags have been checked.
Ensure the recruitment process includes two references for all staff, in accordance with the recruitment policy, and an assessment of the immunisation status of all newly-recruited non-clinical staff.
Ensure outcomes relating to the care of patients with poor mental health and diabetes are continually monitored and areas for improvement are identified and actioned.
Ensure translation services are clearly advertised in the waiting areas.
Chief Inspector of General Practice