We carried out an announced comprehensive inspection at Bluebell Lane Medical Practice on 17 April 2019 as the practice was newly registered with the CQC in May 2018 and in line with our inspection schedule.

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.

We found that:

• The practice provided care in a way that kept patients safe and protected them from avoidable harm.
• Systems were in place to ensure 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 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. The practice had access to an independent management leadership team which included professional finance; marketing and communication and quality assurance personnel. This team had developed an infrastructure which would support innovative ways of working when fully embedded. The leadership style and actions promoted sustainable improvements and high-quality care in all outcome areas.

Whilst we found no breaches of regulations, the provider should:

• Review the accessibility of oxygen for use in an emergency.
• Consider directly acknowledging comments left on public websites.
• Review feedback from all sources of information about the service.

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