We carried out an announced comprehensive inspection at St Luke’s Medical Centre on 22 August 2019 which was scheduled due to the practice having a new partnership registration.
This inspection looked at the following key questions safe, effective, caring, responsive and well led.
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 good overall and good for all population groups except for Families, Children and Young people which we rated as requires improvement.
We rated the practice as requires improvement for the population group families, children and young people as the practice childhood immunisation uptake rates were significantly below the national average.
We found that:
- 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 dealt with patients with kindness and respect and involved them in decisions about their care.
- The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
Whilst we found no breaches of regulations, the provider should:
- Improve the identification of carers to enable this group of patients to access the care and support they need.
- Continue to review the appointment system and ensure patients can access services in a timely manner, including nurse appointments.
- Ensure audits demonstrate quality improvement to the practice.
- Continue to engage with parents to encourage uptake of recommended childhood immunisations
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