We carried out an announced comprehensive inspection at City Road Medical Centre on 28 March 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 the population groups except Families, children and young people which we rated as requires improvement.

We found:

• The practice provided care in a way which kept patients safe and protected them from avoidable harm.
• The practice’s performance for uptake of childhood immunisations and cervical screening were below national targets.
• 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 a clear vision and credible strategy to provide high quality sustainable care.

The areas where the provider should make improvements are:

• Review and continue to work to improve uptake of it’s child immunisation programme for the benefit of that patient population.

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

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of the practice on 14 March 2016 where breaches of legal requirements were found. After the inspection, the practice wrote to us to say what they would do to meet the legal requirements in relation to the breach of Regulation 12 Safe care and treatment of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

We undertook this desk-based focussed inspection on 13 September 2016 to check that the practice had followed their plan to confirm that they now met the legal requirements. This report covers our findings in relation to those requirements and also where additional improvements have been made following the initial inspection. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for City Road Medical Centre on our website at www.cqc.org.uk.

Overall the practice is rated as Good. Specifically, following the focussed inspection we found the practice to be good for providing effective and responsive services.

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 City Road Medical Centre 14 March 2016. Overall the practice is rated as requires improvement.

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 on request and easy to understand.
• 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 practice was aware of and complied with the requirements of the Duty of Candour.

• Urgent appointments were available the same day. However, some patients said they did not find it easy to make an appointment with a named GP which could have an impact on continuity of care.

• GP patients survey results showed

The areas where the provider must make improvement are:

• The provider must review its levels of exception reporting and take all necessary steps to improve outcomes for patients.

• The provider must ensure all staff received such supervision and appraisal as is necessary to enable them to carry out their duties.

The areas where the provider should make improvement are:

• Proactive steps should be taken to bring the complaints process to patient’s attention.

• The provider should ensure the interpreting service is brought to patient’s attention.

• The provider should take steps to improve access to the service by improving the availability of appointments with a patient’s preferred GP and improving patient satisfaction with the opening hours and telephone access.

• Infection control audits should be carried out annually.

• The provider should consider introducing an appointment system for the baby immunisation.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice