We carried out a review of the data available to us about Hesa Medical Centre on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Hesa Medical Centre, you can give feedback on this service.
We carried out an announced inspection at Hesa Medical Centre on 23 September 2021. Overall, the practice is rated as Good.
Safe - Good
Effective - Good
Caring - Good
Responsive - Good
Well-led - Good
Following our previous inspection on 27 January 2021 the practice was rated Requires Improvement overall and for the Safe, Effective and Well-led key questions and Good for being Caring and Responsive.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Hesa Medical Centre on our website at www.cqc.org.uk
Why we carried out this inspection
This was a focused inspection to follow up on:
How we carried out the inspection/review
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.
This included:
Our findings
We based our judgement of the quality of care at this service on a combination of:
We have rated this practice as Good overall
We found that:
Whilst we found no breaches of regulations, the provider should:
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
We carried out an announced comprehensive inspection at Hesa Medical Centre as part of our inspection programme. This is the first inspection of this service that has taken place.
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 Requires Improvement overall.
We rated them requires improvement for safe, effective and well-led and good for caring and responsive. We rated them good for population groups older people, people whose circumstances make them vulnerable and mental health. We rated them require improvement for families and children, people with long term conditions and mental health.
The practice is rated requires improvement for Safe as not all staff files contained copies of references, there was no evidence of regular clinical supervision or peer review for all clinical staff. We also found the practice did not have a consistent process for monitoring patients on high risk medication. Further, there was no process for ensuring patient safety alerts were actioned appropriately.
The practice is rated requires improvement for Effective due to the childhood immunisations, cervical screening rates and the management of their diabetic patients being below national targets.
The practice is rated requires improvement for Well-led as the provider did not operate effective monitoring of their safety and governance processes to ensure they were always followed by all staff.
We Found:
•The practice did not always provide care in a way that kept patients safe and protected them from avoidable harm.
•The service reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
•They offered home visits and urgent appointments for those with enhanced needs and complex medical issues.
•Staff demonstrated commitment and engagement with the vision for the service. They were proud to work for the organisation.
•Staff performance was not always monitored and reviewed
•The practice promoted good health and prevention and provided patients with suitable advice and guidance.
•There was a commitment to work with external partners
•The service had a business development strategy and quality improvement plan.
The areas where the provider must make improvements are:
•Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
The areas where the provider should make improvements are:
•Continue to implement processes to improve the take up of childhood immunisations.
•Continue to implement processes to improve the take up of cervical smears.
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