We carried out an inspection of this service on the 21st January 2020 following our annual review of the information available to us including information provided by the practice. Our review indicated that there may have been a significant change to the quality of care provided since the last inspection.
This inspection focused on the following key questions:
Are services effective?
Are services well-led?
Because of the assurance received from our review of information we carried forward the ratings for the following key questions:
Are services Safe? – Good
Are services Caring? - Good
Are services Responsive? – Good
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.
We found that:
- Patients received effective care and treatment that met their needs. The practice had systems in place to conduct evidence-based care and monitor their performance.
- Published practice performance data showed that the practice was performing in line with most current performance targets in comparison to other services in their area.
- The practice demonstrated ongoing quality improvement activity with clinical audits in operation.
- The practice had systems in place to manage risks.
- The practice demonstrated clear systems of governance in place to learn from complaints, incidents and feedback.
- 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:
- Continue to promote and improve uptake rates of cervical screening and childhood immunisations.