7 November 2019
During an inspection looking at part of the service
We carried out an inspection of this service due to the length of time since the last inspection.
Following our annual review of the information available to us, including information provided by the practice, we focused our inspection 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 at this location safe?
- Are services at this location caring?
- Are services at this location 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 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 way the practice was led and managed promoted the delivery of high-quality, person-centred care.
We received 20 CQC Comments cards which were wholly positive about the service and showed that patients felt the practice was welcoming, caring and friendly and that staff were good at listening, professional and helpful.
Whilst we found no breaches of regulations, the provider should:
- Review the provision of services for the cervical cancer screening programme to improve uptake rates in line with the national target of 80% uptake.
- Continue in efforts to review and where appropriate reduce the rates of exception reporting for people experiencing poor mental health (including people with dementia).
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