Moorcroft Medical Centre

We carried out an announced inspection at Moorcroft Medical Centre on 19 October 2021. Overall, the practice is rated as Good.

Safe - Good

Effective - Good

Caring - Good

Responsive - Good

Well-led - Outstanding

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Moorcroft Medical Centre on our website at www.cqc.org.uk

Why we carried out this inspection

This inspection was a comprehensive inspection as part of our inspection programme.

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 shorter site visit
• Conducting remote discussions with the practice Patient Participation Group

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

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.

We rated well-led as Outstanding because:

• The leadership, governance and culture were used to drive and improve the delivery of high-quality person-centred care.
• There was a demonstrated commitment to best practice performance and risk management systems and processes.
• Leaders were dedicated to reducing risk and protecting patients from harm, the service had made the decision to appoint external consultants to ensure the service was as safe as it could be.
• Practice leaders were innovative and openly shared with others.
• Staff views and suggestions were actively used to make improvements to services within the practice.

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

• Evaluate and embed the changes implemented during the inspection. For example, older medicine safety alert system searches, monitoring and coding systems for prediabetes patients and the reintroduction of downloading electronic pathology results prior to repeat prescribing.
• Develop a strategy for non-compliant patient attendance when required for medicines and/or long-term condition monitoring.
• Evaluate the changes made to the significant event root cause analysis tool.
• Continue to improve cervical and cancer screening uptake.
• Continue to improve the uptake of childhood immunisations.
• Maintain oversight and continue to monitor and review patient feedback on access.

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