Danson Family Practice

We carried out an announced inspection at Danson Family Practice on 20 May 2022. Overall, the practice is rated as good, with all the key questions rated as good.

Why we carried out this inspection

This inspection was a full comprehensive inspection carried out following a change in CQC registration.

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

How we carried out the inspection/review

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
• Gaining feedback from staff using staff questionnaires

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 Good overall and as good in all key questions

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 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-centre care.

Whilst we found no breaches of regulations, the provider should:

• Implement a formal system to recall patients who need regular blood tests.

We found two areas of outstanding practice:

• The practice offered telephone consultations with patients outside the normal practice opening hours daily, including during the weekends and at bank holidays. We saw evidence that these consultations were usually fully utilised.
• The practice adapted its services taking into account the specific needs of the patient population. For example, they sourced information and local social prescribing schemes for patients who did not speak English as a first language, they provided care for patients who had been recently released from prison, and they were particularly mindful of how deprivation in the area affected how patients could manage their 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