24 May 2022
During a routine inspection
We carried out an announced inspection at Health Centre on 24 May 2022. Overall, the practice is rated as requires improvement.
Safe - Requires improvement
Effective – Requires improvement
Caring - Good
Responsive - Good
Well-led - Good
This is the provider’s first inspection under its current registration with the Care Quality Commission. The practice was previously registered under a different provider which was an individual provider. It was now registered as a partnership.
Why we carried out this inspection
This inspection was a comprehensive inspection in which we looked at all five key questions.
How we carried out the inspection
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:
- Conducting staff interviews using video conferencing
- Completing clinical searches on the practice’s patient records system and discussing findings with the provider
- Reviewing patient records to identify issues and clarify actions taken by the provider
- Requesting evidence from the provider
- A short site visit
Our findings
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 found that:
- The practice did not always provide care in a way that kept patients safe and protected them from avoidable harm.
- Patients did not always receive 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 adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic. 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-centred care.
We found one breach of regulations. The provider must:
- Ensure care and treatment is provided in a safe way to patients.
We have also said the provider should:
- Review and improve the minuting of practice meetings to ensure discussions around safeguarding are routine and communicated with all staff.
- Review and improve prescribing practice to reduce antibiotic prescribing and improve the uptake of childhood immunisations and cervical screening.
- Review and improve quality improvement activity to ensure this is carried out in a structured and coordinated manner.
- Review and improve governance and oversight of remote services.
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