We carried out an announced focused inspection at Adelaide Medical Centre on 20 June 2019. At this inspection we re-assessed the practice in the effective and well-led key questions. As we did not inspect the safe, caring and responsive domains these domain ratings remain as good.
At our previous inspection, on 21 June 2018, and rated the practice as good for safe, caring, responsive and well-led. We rated effective as requires improvement as there was concerns regarding the uptake of cervical screening and childhood immunisations.
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 except for
the working age population group which remains as requirements improvement. This is because although the practice had made progress in increasing the uptake of cervical screening, the uptake rate was still below the national target of 80% (please see evidence tables for more details).
We found that:
- The practice had adequately increased the uptake of childhood immunisations rates.
- The practice carried out clinical audits to improve patient outcomes.
- The practice was able to show that staff had the skills, knowledge and experience to carry out their roles.
- There were arrangements for identifying, recording and managing risks, issues and implementing mitigating actions and these were operated effectively.
- 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 cervical screening uptake rates.
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