2 August 2023
During an inspection looking at part of the service
We carried out an announced inspection at the Arrival Practice on 31 July – 2 August 2023. Overall, the practice is rated as good.
The ratings for the key questions are as follows:
Safe – Good
Effective – Not inspected, rating of Good carried forward from previous inspection
Caring - Not inspected, rating of Good carried forward from previous inspection
Responsive - Not inspected, rating of Outstanding carried forward from previous inspection
Well-led - Not inspected, rating of Good carried forward from previous inspection
Following our previous inspection on 21 June 2022, the practice was rated Good overall and Requires Improvement for Safe.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for The Arrival Practice on our website at www.cqc.org.uk
Why we carried out this inspection
This inspection was a focussed inspection following a rating of Requires Improvement in Safe.
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 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 found that:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- The practice had significantly improved their governance around safeguarding systems and processes.
- The practice had improved its medicine management meaning that they now had processes in place to manage non-medical prescribers competencies.
- Emergency medicine kept on site was not extensive and easily accessible to staff members when required.
- 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 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:
- Improve how medicine reviews are recorded so it is clear for other health professionals when viewing records
- Continue to improve the monitoring of competencies of non-medical prescribers
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