This service is rated as
Good
overall.
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? – Good
We carried out an announced comprehensive inspection at The Criswell Practice on 23 November 2021 as part of our rating inspection programme for independent health services. This was the first comprehensive inspection of this service.
The Criswell Practice was established in 1990 and was registered with the Care Quality Commission in 2020. The practice operates a private GP service for patients, providing consultations and private prescriptions.
The principal doctor is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
As part of this inspection, patients of the practice were asked to give feedback to CQC about their experiences of using the service. We spoke with two patients about the service they have received, and all comments received were positive, mentioning: staff were courteous and efficient, GP had good knowledge and referral links with consultants, and consultation times were flexible to patient needs.
Our key findings were:
- Clinical notes were kept in line with best practice guidance, with evidence seen that thorough and detailed feedback from consultations was provided to patients.
- There were both reported and observed positive relations between staff and management.
- Referrals and transfers to other services were undertaken in a timely way.
- Comprehensive practice policies were in place and shown to be reviewed regularly.
- The practice adopted a person-centred approach to care and made conscious efforts to promote patient dignity and privacy. For example, soundproofing clinical room doors and playing low level music to reduce the risk of consultations being overheard.
- We saw no evidence of discrimination when making care and treatment decisions.
- Feedback from patients was positive about the way staff treated people.
- Information about how to raise concerns was available.
The areas where the provider should make improvements are:
- Considering fitting clinical rooms with elbow operated mixer taps to comply with infection prevention and control requirements.
- The practice should formalise the process and documentation with monitoring stock control and expiry dates of emergency medicines, defibrillator and oxygen and vaccines, and ensure these are formally checked on a regular basis.
- The practice should formalise business continuity and succession planning.
- Develop an audit programme to improve care and ensure adherence to best practice guidance.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care