6 September 2023
During a routine inspection
We carried out an announced comprehensive inspection at Rothwell and Desborough Healthcare Group on 6 September 2023. Overall, the practice is rated as requires improvement.
Safe - requires improvement
Effective - good
Caring - good
Responsive - requires improvement
Well-led - good
Following our previous inspection on 14 September 2018, the practice was rated good overall and for all key questions.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Rothwell and Desborough Healthcare Group on our website at www.cqc.org.uk
Why we carried out this inspection
We carried out this inspection in line with our inspection priorities.
How we carried out the inspection/review
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.
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:
- Remote reviews of the clinical record system demonstrated that medicine reviews were not always completed comprehensively and safety alerts had not always been responded to.
- Responses to the National GP Patient Survey showed patients were less than satisfied with access to the practice and making an appointment. Whilst the practice had taken actions to make improvements it was too soon to assess the impact of these.
- The uptake for cervical screening was below the 80% target set by the UK Health Security Agency.
- The practice used significant events, audits and complaints to identify areas of learning and improvement.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
We found 1 breach of regulations. The provider must:
- Ensure care and treatment is provided in a safe way to patients.
The areas where the provider should make improvements are:
- Continue to take measures to improve the uptake of cervical screening.
- Continue to take actions to improve patient satisfaction in relation to access and appointment booking.
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 Health Care