20/06/2019
During an inspection looking at part of the service
We carried out an announced comprehensive inspection at Mayfield Medical Centre on 20 June 2019 as part of our inspection programme.
We carried out an inspection of this service following our annual review of the information available to us including information provided by the practice. Our review indicated that there may have been a significant change (either deterioration or improvement) to the quality of care provided since the last inspection.
This inspection focused on the following key questions:
Safe
Effective
Well Led
We carried out an inspection of this service in January 2019 due to the length of time since the last inspection. Following our review of the information available to us, including information provided by the practice, we focused our inspection on the following key questions:
Caring
Responsive
At the inspection in January 2019 we rated the practice as requires improvement for providing safe services because:
- Patients were at risk of harm because systems and processes were not in place to keep them safe. For example, up to date risk assessments and actions identified to address concerns with fire safety and health and safety had not been taken.
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 put in place systems and processes and 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.
- The practice had put in place additional services to deliver services to meet patients’ needs. 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.
The areas where the provider should make improvements are:
- Continue to review uptake of health monitoring for patients with diabetes.
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