Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection on the 12 November 2015. Overall the practice is rated as good.

Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the CQC at that time.

Our key findings across all the areas we inspected were as follows:

• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.

• Risks to patients were assessed and well managed.

• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.

• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.

• Information about services and how to complain was available and easy to understand.

• Patients said they found it easy to make an appointment with a named GP, with urgent appointments available the same day.

• The practice had good facilities and was well equipped to treat patients and meet their needs.

• There was a clear leadership structure and staff felt supported by management.

• The practice proactively sought feedback from staff and patients, which it acted on.

• The provider was aware of and complied with the requirements of the Duty of Candour.

However there was an area of practice where the provider needs to make improvements.

The provider should –

• Continue with efforts to increase the membership of the patient participation group for it to be more representative of the patient population.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice

This practice is rated as Good overall. (Previous rating 24/12/2015 – Good)

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Requires Improvement

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Adelaide Medical Centre on 21 June 2018 as part of our inspection programme.

At this inspection we found:

• The practice’s childhood immunisation uptake rates for the four national indicators were below the target percentage of 90% or above.
• The practice’s performance for cervical screening and screening for breast and bowel cancer were below national averages.
• Three members of the reception team had not completed any safeguarding training. After the inspection we were sent confirming evidence that safeguarding training had been provided to these members of staff.
• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
• The practice ensured that care and treatment was delivered according to evidence based guidelines.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.
• Staff told us the leadership team was supportive and approachable.

The areas where the provider must make improvements as they are in breach of regulations are:

• The practice must ensure the care and treatment of patients is appropriate, meets their needs and reflects their preferences. (Please refer to the requirement notice section at the end of the report for more detail).

The areas where the provider should make improvements are:

• Review the practice’s Quality Outcomes Framework (QOF) exception reporting policy to help bring exception reporting figures for individual clinical domains in line with the CCG and national averages.
• Review the practice’s systems and processes for increasing the uptake for breast and bowel cancer screening.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.