Archived: Broughton Corner Family Practice

We carried out an announced focused inspection at Broughton Corner Family Practice on 09 June 2021 and a remote clinical review on 07 June 2021 to follow up on breaches of regulations related to the previous provider of this service. Overall, the practice was rated as good.

During the last inspection on 05 February 2020 the practice was managed by another provider; the practice was taken over by the new provider, Brigstock Family Practice in May 2020. Following the last inspection, the practice was rated as requires improvement overall (requires improvement in safe and effective) for issues in relation to medicines management; equipment checks; significant events; uptake for childhood immunisations and cervical screening; outcomes for patients with long-term conditions; quality improvement and staff training.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Broughton Corner Family Practice on our website at www.cqc.org.uk

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 rated the practice as Requires Improvement for providing safe services.

At this inspection we found the provider had made some improvements in providing safe services. In particular, the provider had made improvements to their systems and process in relation to recruitment checks, emergency equipment, emergency medicines and checks for equipment. However, we found new issues in relation to safeguarding training, infection prevention and control and medicines management.

We rated the practice as good for providing effective services.

At this inspection we found the provider had made some improvements in providing effective services. In particular, carrying out medicines’ reviews for patients, outcomes for patients with long-term conditions and quality improvement, uptake for childhood immunisations and cervical screening; however, they were still below target.

We rated the practice as good for providing caring services.

We found that the provider enabled people to express their views by carrying out patient surveys and made changes where necessary.

We rated the practice as good for providing responsive services.

We found that the provider had made changes to improve access to the service. Feedback from patients about access was mostly positive.

We rated the practice as good for providing well-led services.

We found the provider had made improvements in providing well-led services in relation to good governance and had implemented systems and process in response to the findings of our previous inspection; staff we spoke to during the inspection confirmed this.

We have rated this practice as good overall and requires improvement in safe and for population group people with long-term conditions.

The areas where the provider must make improvements are:

• Ensure that care and treatment is provided in a safe way for patients.

(Please see the specific details on action required at the end of this report).

The areas where the provider should make improvements are:

• Consider ways to improve uptake for learning disability health checks.
• Make patient information leaflets available in other languages.
• Consider ways to identify carers to ensure their needs are known and can be met.
• Improve patient engagement through Patient Participation Group meetings.

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