This service is rated as Good
overall. This service has not previously been inspected.
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? – Good
We carried out an announced comprehensive inspection, as part of our inspection programme, at South & East Leeds General Practice Group Ltd (SELGP Group) on 13 May 2021.
Why we carried out this inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the service was meeting the legal requirements and regulations associated with that Act.
South & East Leeds General Practice Group Ltd was registered with the Care Quality Commission (CQC) in August 2017 under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, for the regulated activities of treatment, disorder or injury and diagnostic and screening procedures. The service employs six staff to provide phlebotomy services to patients within their own home or care setting; such as a residential or nursing home.
The chairperson of the SELGP Group board is the registered manager. A registered manager is a person who is registered with CQC to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
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, we have conducted our reviews differently.
Since the service registered with CQC, we have carried out regulatory monitoring of the service.
As part of this inspection we reviewed a range of systems and processes relating to governance, service delivery and customer care.
Our key findings were:
- There was a leadership and managerial structure in place with clear responsibilities, roles and accountability to support good governance.
- There were clearly defined and embedded systems, processes and practices in place to keep people safe and safeguarded from abuse.
- The service had a good track record regarding safety and experienced low levels of incidents.
- The provider undertook regular audits to ensure effective service delivery.
- Any risks arising from COVID-19 were identified and managed in line with government guidance. Staff had access to personal protective equipment.
- Staff were appropriately trained and received updates as needed.
- Feedback from patients was positive about the service they received.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care