This practice is rated as Good overall. (Previous inspection 10 April 2015 – Good)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Requires improvement

Are services well-led? - Good

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

We carried out an announced comprehensive inspection Bosworth Medical Centre on 21 February 2018 as part of our inspection programme.

At this inspection we found:

• The practice had comprehensive systems to manage risk so that safety incidents were less likely to happen. We saw that when incidents did happen, the practice learned from them and improved their processes and that learning was shared with staff throughout the practice.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment were delivered according to evidence based guidelines.
• Patients reported that GPs and nurses treated patients with compassion, kindness, dignity and respect and involved them in decisions about their care.
• Most patients we spoke with expressed difficulty in gaining access to the practice by telephone, but reported that when they did they were able to get an appointment. Older patients and those who were vulnerable were provided with a specific number to gain immediate access if they needed to speak with a GP.
• The GPs were committed to improving patient outcomes and demonstrated a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

• Continue to explore ways of improving telephone access.
• Introduce a formal system to monitor the quality of prescribing of non-medical prescribers.
• Improve computer read coding generally to remove the need for high exception reporting.
• Continue to increase the identification of carers on the register.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out a comprehensive inspection at Bosworth Medical Centre on 10 April 2015.

Overall we have rated the practice as good for safe, effective, caring, responsive and well led services for the population it served.

Our key findings were as follows:

• Systems were in place to ensure that all staff had access to relevant national patient safety alerts. Staff worked together as a team to ensure they provided safe, co-ordinated patient care.

• We found that patients were treated with respect and their privacy was maintained. Patients informed us they were satisfied with the standards of care they received.

• Patients we spoke with told us they were satisfied with the care they received and their medicines were regularly reviewed.

• The practice was visibly clean and tidy. Annual audits were carried out and resultant actions taken to protect patients from unnecessary infections when they visited the practice.

• The practice had a clear vision to deliver high quality care and promote good outcomes for patients. This was evident when speaking with staff and patients during our inspection.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

On the day of our inspection we spoke with seven patients, two doctors and three members of staff. After our inspection, we spoke with a patient who was also a member of the Patients in Partnership Group over the telephone.

Four patients we spoke with were satisfied with the appointment system and when necessary were given an appointment on the same day. Three patients told us they found it difficult to get through to the surgery by telephone at times and were not yet familiar with the new appointment system. This had had been introduced two weeks earlier. One told us: “The phones are always busy first thing in the morning, but you can usually get through later on in the day. With the new system, you know a doctor will call you back the same day and they will always see you if you need to be seen that day.”

We saw that patients’ views and experiences were taken into account in the way the service was provided and that they were treated with dignity and respect. When patients received care or treatment they were asked for their consent and their wishes were listened to.

The practice is located in a modern building with two floors. It is fully accessible for people with disabilities and has a lift. There were disabled parking bays close to the entrance in the car park. The surgery is also fitted with a hearing aid loop. One patient said: “The building is much better than the old one and I can easily move around it.”

We found the practice to be clean and well organised. Processes were in place to minimise the risk of infection. There were also processes in place for monitoring the quality of service provision. There was an established system for regularly obtaining opinions from patients about the standard of the service they received.