We carried out an announced focused inspection at Marden Medical Practice on 23 October 2019 due to the length of time since the last inspection. Following our review of the information available to us, including information provided by the practice, we focused our inspection on the following key questions: Effective and Well-Led. Because of the assurance received from our review of information we carried forward the ratings for the following key questions: Safe, Caring and 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 previously carried out a comprehensive inspection at Marden Medical Practice on 24 October 2014. The overall rating was Oustanding. We rated the service as outstanding for providing safe and well-led services and good for providing effective, caring and responsive services. The report on the October 2014 inspection can be found by selecting the ‘all reports’ link for Marden Medical Practice on our website at .
We have rated this practice as outstanding overall and good for all population groups.
We found that:
- Patients received effective care and treatment that met their needs and was planned and delivered according to evidence-based guidelines.
- The practice understood the needs of its population and tailored services in response to those needs. Recruitment of appropriately skilled and experienced staff to meet patient demand were a practice priority.
- Staff had the skills, knowledge and experience to deliver effective care, support and treatment and worked together and with other organisations to deliver effective care and treatment.
- Audits demonstrated quality improvement.
- Patients were treated with compassion, dignity and respect and were involved in their care and any decisions about their treatment.
- Staff felt privileged to work at the practice and were valued and well supported by the GPs and the management team.
- There was compassionate, inclusive and effective leadership. Leaders were visible and approachable and understood the strengths and challenges of the services provided.
We have rated the practice as outstanding for well-led because:
- Leadership was reflective, strong and decisive with emphasis on communication, training and education.
- There were effective systems in place for continuous improvement and innovation.
- Leaders were committed to embrace new initiative approaches to patient care.
- The practice had a clear vision with quality and safety as its top priority and carried out proactive succession planning.
- Patients were highly satisfied with the with the service they received from the practice. Staff felt valued and supported in their work. There was an effective relationship between the practice and its very active patient participation group who had representation on various groups.
- There was a strong commitment towards ensuring that there was equality and inclusion promoted across the workforce.
Whilst we found no breaches of regulations, the provider should:
- Formalise and document the discussions held and review of consultations for the advanced nurse practitioner.
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 General Practice