We carried out an announced focussed inspection at Dr AMJ Bower and Partners on 5 December 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:
- Are services effective?
- Are services well led?
Because of the assurance received from our review of information, we carried forward the ratings for the following key questions:
- Are services safe? (Good)
- Are services caring? (Outstanding)
- Are services responsive? (Outstanding)
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 for providing effective and well led services because:
- People had good outcomes because they received effective care and treatment that met their needs.
- Information about people’s care and treatment was routinely collected, monitored and acted upon.
- The practice organised and delivered 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.
- Clinical and internal audit processes functioned well and had a positive impact in relation to quality governance.
The practice was previously rated as outstanding for providing responsive care for all population groups. Therefore, the overall rating for all population groups remained as outstanding.
The areas where the provider should make improvements are:
- Review how consent is recorded in the patient record, particularly for procedures such as minor surgery.
- Continue to implement actions to improve uptake for cervical screening.
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