We carried out an announced comprehensive inspection at Broadway Medical Centre on 19 February 2019 as part of our inspection programme.

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.
• 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 practice had devised a rota of GP responsibilities to share work equally between the permanent GPs and the sessional staff.
• The practice recognised and acted upon shortfalls in the nursing team skill mix, by employing an experienced nurse prescriber.
• The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
• There was a strong focus on continuous learning and improvement at all levels of the organisation. For example: the practice had signed up to the IRIS (Identification and Referral to Improve Safety) project, development of staff, participation in the latent TB screening project and ongoing clinical audits.

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

• Ensure that all staff, including locum GPs, are up to date with their required training.
• Ensure that all required recruitment checks are obtained.
• Record the full immunisation status for all staff.
• Keep the COSHH risk assessment with the product data sheets.
• Continue to focus on improving the management of patients with long term conditions.
• Improve the identification of carers to enable this group of patients to access the care and support they need.
• Ensure that all complaints, including verbal, are recorded separately from patient records, and that patients are informed about the Parliamentary and Health Service Ombudsman (PHSO).

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Broadway Medical Centre on 27 January 2016. Overall the practice is rated as good.

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.

• Staff understood and fulfilled their responsibilities to raise safety concerns and to report incidents and near misses.

• There were systems in place to maintain the health and safety of patients and staff at the practice and any learning identified from incidents was shared with staff.

• Staff assessed patients’ needs and had effective procedures in place to ensure care and treatment was delivered 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 and that there was continuity of care, 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.

The practice premises were acknowledged as a challenge to providing privacy in the reception area and plans were in place to overcome this.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice