22 July 2021
During a routine inspection
We carried out an announced inspection at Camrose, Gilles and Hackwood Partnership on between 18 and 22 July 2021. Overall, the practice is rated as Good.
Set out the ratings for each key question
Safe - Good
Effective - Good
Caring - Good
Responsive - Good
Well-led - Good
The full reports for previous inspections can be found by selecting the ‘all reports’ link for The Gillies and Overbridge Medical Partnership on our website at www.cqc.org.uk
Why we carried out this inspection.
Following our previous inspection in March 2019, the practice was rated Requires Improvement overall with requires improvement ratings given for the two key questions Safe, Responsive and Well Led. We issued requirement notices against Regulations 12 and 17 of the Health and Social Care Act Regulations 2014, Safe care and treatment and Good Governance. The key questions of Effective and Caring were rated Good.
This was a comprehensive inspection, and also followed up on the areas identified for improvement in the last inspection, including a breach of regulations and ‘shoulds’ identified in the last inspection.
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 inspection 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
- Short site visits
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 Good for all population groups.
We found that:
The practice had made changes and improvements in the areas we identified at our last inspection. These included improvements in the following:
- The completion and reviewing of risk assessments.
- Updating policies and procedures.
- Patient Group Directions being signed appropriately
- Medicines and Healthcare products Regulatory Agency (MHRA) alerts being actioned in a timely way and oversight being maintained.
- Appropriate recruitments checks for staff.
We also 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.
- 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.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
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