We decided to undertake an inspection of this service on 30th July 2019 following our annual review of the information available to us. This inspection looked at the following key questions; are services safe, effective and well-led. During our annual regulatory review, we assessed that the ratings for caring and responsive services had stayed the same and are therefore rated as good. The practice was previously inspected in May 2016 and rated as good overall.
Our judgement of the quality of care at this service is based 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.
This means that:
- Patients had good outcomes because they received effective care and treatment that met their needs.
- People were protected from avoidable harm and abuse and legal requirements were met.
- The practice was fully engaged with reviewing and monitoring the clinical services they offered and used this information to make changes and drive care.
- Patients were supported, treated with dignity and respect and were involved as partners in their care. The comment cards we received were wholly positive about the service provided.
- Outcomes for patients in relation to childhood immunisations were above CCG and England averages.
- There were effective governance structures in place, including risk assessments, policy reviews and good oversight of the training of staff.
- The induction process was flexible to meet the needs of new staff. It included regular competency reviews, shadowing sessions and full mandatory training provision.
- The leadership, governance and culture of the practice promoted the delivery of high-quality person-centred care.
- The practice encouraged continuous improvement and innovation. For example, the practice had encouraged further learning and had encouraged nurses to complete prescribing training.
- Staff reported they were happy and proud to work in the practice.
Details of our findings and the evidence supporting our ratings are set out in the evidence table.
Dr Rosie Benneyworth BS BM BMedSci MRCGP
Chief Inspector of General Practice