27 June 2022
During an inspection looking at part of the service
Why we carried out this inspection
We carried out an announced focussed inspection at Belsize Priory Medical Practice between 22nd-27th June 2022.
We carried out this inspection to follow up on the previous inspection carried out in September 2021 where the practice received a requires improvement rating for the safe, effective and well domains. We also issued requirement notices for breaches of Regulation 15 HSCA (RA) Regulations 2014 Premise and Equipment and Regulation 12 HSCA (RA) Regulations 2014 Safe care and Treatment.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Belsize Priory Medical Practice on our website at www.cqc.org.uk.
At this inspection we were satisfied all previous concerns had been rectified and the requirement notices had been met.
The following ratings have been applied at this inspection:
Safe - Good
Effective - Good
Caring - Good (carried over from previous inspection)
Responsive – Good (carried over from previous inspection)
Well-led – Good
How we carried out the inspection
Throughout the pandemic CQC has continued to regulate and respond to risk. However, considering 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
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.
- 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:
- Continue with efforts to improve the uptake of cervical screening and childhood immunisations.
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