Cromwell Primary Care Centre Also known as Dr Anupam Sinha

We carried out an announced inspection at Cromwell Primary Care Centre on 22 and 28 June 2022. Overall, the practice is rated as Good.

Safe - Requires Improvement

Effective - Good

Caring - Good

Responsive - Good

Well-led - Good

Why we carried out this inspection

This inspection was a comprehensive inspection. It was the first inspection since a change in registration in November 2019.

How we carried out the inspection

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, and in order to reduce risk, we have conducted our inspections differently.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included:

• Conducting staff interviews using video conferencing
• Completing clinical searches on the practice’s patient records system and discussing findings with the provider
• 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 have rated this practice as Good overall

We found that:

• The practice had not always provided care in a way that kept patients safe and protected them from avoidable harm. Recruitment policies were not always fully implemented, there were some gaps in aspects of blank prescription security and management and the lead GP had not completed safeguarding training to the required level.
• Patients received effective care and treatment that met their needs.
• Staff treated patients with kindness, compassion, and respected their privacy and dignity. Staff helped patients to be involved in decisions about their care and treatment.
• The practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic. Patients could access care and treatment through a variety of routes and at a choice of preferred venue.
• Appropriate standards of cleanliness and hygiene were met.
• Data showed good levels of patient satisfaction with the service.
• The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
• The leadership team demonstrated an open and transparent leadership style.

We found one breach of regulations. The provider must:

• Ensure recruitment procedures are established and operated effectively to ensure only fit and proper persons are employed.

Although not a breach of regulations, the provider should:

• Embed practice policies and procedures for distribution and monitoring of pre-printed blank prescription stationary with staff and monitor compliance.
• Continue to encourage patient uptake in cervical cancer screening.
• Maintain the action plan put in place for structured medication reviews.
• Complete level 4 safeguarding training as safeguarding lead.

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