We carried out an announced comprehensive inspection at Cavendish 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.
• There was equipment and medicines for use in emergencies and these were checked and documented. Staff were trained in care and treatment of medical emergencies and in how to recognise symptoms when people’s conditions become severe, such as in sepsis.
• Blank prescriptions were logged in and out for use at the practice and were stored safely and securely.
• Patients received effective care and treatment that met their needs. We saw that clinicians treated and cared for patients in line with current best practice guidelines and legislation.
• The practice understood the needs of its patients’ population and delivered care and treatment tailored to the individual’s needs.
• Staff dealt with patients with kindness and respect and involved them in decisions about their care. Feedback from patients was consistently positive about care, treatment and access at this practice.
• 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. There was evidence of quality improvement that included audit and which demonstrated outcome improvements. However, there was no formal audit programme based on national, local and service priorities.

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

• Continue to monitor and actively encourage uptake of childhood immunisations.
• Implement an audit programme/plan that is based on national, local and practice priorities.

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

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

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Cavendish Medical Centre - JA Melville on 26 November 2015. Overall the practice is rated as good.

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

• Systems were in place to ensure incidents and significant events were identified, investigated and reported. All staff were aware of what constituted a significant event and they fulfilled their responsibilities to raise concerns and to report incidents. Information about safety was recorded, monitored and appropriately reviewed.

• Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
• 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 readily available in document form for patients.
• 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.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice