We carried out an announced comprehensive inspection at Salisbury Medical Practice on 18 November 2022. We have rated the practice as Good overall.
Safe - Good
Effective - Good
Caring - Good
Responsive - Good
Well-led - Good
Following our previous inspection in November 2018, the practice was rated Good overall and for all key questions, with Outstanding for providing responsive services.
At the last inspection we rated the practice as outstanding for providing responsive services because:
- The practice had a clear vision of using social prescribing and social care signposting to support patients, by improving their social network, encouraging social activity and making sources of help and advice more easily accessible.
At this inspection, we found that those areas previously regarded as outstanding practice were now embedded throughout the majority of GP practices. While the provider had maintained this good practice where possible, the COVID-19 pandemic impacted the delivery on some of these services and not all had resumed at the time of inspection. The threshold to achieve an outstanding rating therefore had not been reached. The practice is therefore now rated Good for providing responsive services.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Salisbury Medical Practice on our website at www.cqc.org.uk
Why we carried out this inspection
We carried out this inspection to follow up concerns reported to us by members of the public in relation to patient access. This included:
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Safe, Effective, Caring, Responsive, Well-led domains
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Risks identified in relation to patient access through complaints to CQC.
How we carried out the inspection
This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.
This included:
- Conducting staff interviews using video conferencing.
- Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
- Reviewing patient records to identify issues and clarify actions taken by the provider.
- Requesting evidence from the provider.
- A short site visit.
- Obtaining information and feedback by external stakeholders.
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 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.
- 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:
- Improve the uptake of cervical cancer screening to eligible patients.
- Continue to respond to complaints in a timely way and maintain a full audit trail of correspondence relating to all complaints, including acknowledgement letters.
- Take action to uphold oversight of required Controlled Substances Hazardous to Health (COSSH) data sheets in relation to all cleaning products stored at the practice.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services