19/02/2020
During a routine inspection
We carried out an announced comprehensive inspection at Burntwood Health & Wellbeing Centre on 19 February 2020 as part of our inspection programme. The provider had bid for the tender to run the practice and registered with CQC as a GP partnership on 1 April 2019. Prior to that the practice had been run as a walk in centre by a small group.
We decided to undertake an inspection of this service following our annual review of the information available to us. This inspection was a comprehensive inspection as both the provider and type of service had changed.
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 with the exception of People Experiencing Poor Mental Health which we rated as requires improvement.
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:
- Formalise the supervision of Advanced Nurse Practitioners.
- Continue to improve the identification of carers to enable this group of patients to access the care and support they need.
- Further develop the forward audit plan.
- Continue to refine the alert process for all alerts received by the practice.
- Continue to develop significant event process.
- Complete a review of all inherited staff folders.
- Identify an appropriate method to keep patients informed about any delays in appointments.
- Improve the review system for People Experiencing Poor Mental Health
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