Mevagissey Surgery Also known as St Austell Healthcare (Mevagissey) Ltd

We carried out an announced inspection at Mevagissey Surgery on 7 and 12 April 2022. Overall, the practice is rated as Good

The key questions have been rated as;

Safe - Good

Effective - Good

Caring - Good

Responsive -Good

Well-led - Good

This is the first time we have inspected this practice under the current registered provider.

It was inspected under a different registered provider in February and August 2020 and was rated as Inadequate overall and placed in Special Measures.

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

Why we carried out this inspection

This inspection was a comprehensive inspection to check how the practice was meeting essential standards and to inspect and rate it following the new registration with the Care Quality Commission.

As this was an inspection of a new registration, we inspected all five key questions. These are; is the practice safe, effective, caring, responsive and well-led?

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 Good overall.

• The practice provided care in a way that kept patients safe and protected them from avoidable harm.
• 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.
• Services were tailored to meet the needs of individual people and were delivered in a way to ensure flexibility, choice and continuity of care.
• There was a proactive approach to understanding the needs of different groups of people and to deliver care in a way that met these needs and promoted equality.
• There was a truly holistic approach to assessing, planning and delivering care and treatment to people who use services.
• Staff, teams and services are committed to working collaboratively and have found innovative and efficient ways to deliver more joined-up care to people who use services.
• Staff were consistent in supporting people to live healthier lives, including identifying those who need extra support, through a targeted and proactive approach to health promotion and prevention of ill-health, and they use every contact with people to do so
• The leadership, governance and culture were used to drive and improve the delivery of high-quality person-centred care.
• The strategy and supporting objectives and plans were, challenging and innovative, while remaining achievable. Strategies and plans were fully aligned with plans in the wider health economy, and there was a demonstrated commitment to system-wide collaboration and leadership.
• Leaders had an inspiring shared purpose and strove to deliver and motivate staff to succeed.
• There were consistently high levels of constructive engagement with staff and people who used services.

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

• Review and monitor cervical screening uptake rates and continue to encourage eligible women to attend for screening.

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