We carried out an announced inspection at Frizinghall Medical Centre on 2 June 2021. Overall, the practice is rated as Good.
Following our previous inspection on 22 March 2019, the practice was rated as good overall and good in all five key questions. However, the practice was rated as requires improvement for providing services to people within the population group of long-term conditions.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Frizinghall Medical Centre on our website at www.cqc.org.uk
Why we carried out this review.
This was a follow-up review of concerns identified during the last inspection in March 2019.
The focus of this review was.
- To review the services provided to people with long-term conditions and the outcomes for these patients using the Quality and Outcomes Framework (QOF) performance.
- To review the processes for documenting actions taken as a result of safety alerts.
How we carried out the inspection.
Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.
This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.
Our approach included:
- A short visit and onsite staff interviews
- Requesting evidence from the provider
- Reviewing performance data available at the time of our inspection.
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 and other organisations.
This practice remains rated as good overall. Following this focused review, we have rated the practice as good for providing care for the population group, long-term conditions.
We found that:
- Effective social distancing arrangements and infection prevention and control (IPC) measures were in place, including access to personal protective equipment (PPE). This enabled patients to attend face-to-face appointments for long-term conditions safely.
- Patients received effective care and treatment that met their needs.
- At this inspection we found that outcomes for patients with long-term conditions had improved. The practice had significantly improved their processes for the management of long-term conditions. Patient recalls were continually audited and additional opportunities to attend were offered. Each patient contact was used to encourage and educate patients to manage their own health, attend reviews and agree goals with clinicians.
- Outcomes for patients were generally comparable to, or better than, the local Clinical Commissioning Group (CCG) and national averages.
- At the inspection in March 2019, we said the practice should review and improve their process for documenting action taken as a result of safety alerts. At this inspection we found the practice had developed an application for documenting and responding to patient safety alerts. The programme alerted clinicians when deadlines for management of the alerts were approaching. This enabled the team to respond in appropriate timescales, monitor the alerts and audit their own performance. We saw that links within the programme connected the clinician to the original alert. Alerts were available to all staff and actioned in a timely manner.
- Data supplied by the practice showed that over 90% of patients who were diagnosed with diabetes, hypertension or COPD had received one dose of the COVID-19 vaccine and over 81% of patients had received two doses.
Whilst we found no breaches of regulations, the provider should:
- Continue to review and support patients to manage their diabetic care.
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