Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Cranford Medical Centre on 8 November 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.
• Risks to patients were assessed and well managed.
• Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment, except that the Quality and Outcomes Framework (QOF) outcomes for patients diagnosed with diabetes and mental health conditions was below the local and national average.
• 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. Improvements were made to the quality of care as a result of complaints and concerns.
• Patients said they found it easy to make an appointment with a named GP and 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 areas where the provider should make improvement are:

• Review arrangements in place to ensure that patients with caring responsibilities are identified, so their needs are identified and can be met.

• Improve the Quality and Outcomes Framework (QOF) outcomes for patients diagnosed with diabetes and mental health conditions.

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 Cranford Medical Centre on 8 November 2016. The practice was rated as good overall and requires improvement for providing effective services. This was specifically in relation to data from the Quality and Outcomes Framework (QOF) which showed patient outcomes were below local and national averages for diabetes and mental health. The full comprehensive report on the November 2016 inspection can be found by selecting the ‘all reports’ link for Cranford Medical Centre on our website at www.cqc.org.uk.

This inspection was a desk-based focused inspection carried out on 10 October 2017 to confirm that the practice had addressed the concerns that we identified at our previous inspection on 8 November 2016. This report covers our findings in relation to those recommendations made since our last inspection. The practice is now rated good for providing effective services and the overall rating remains as good.

Our key findings were as follows:

• The practice provided evidence that they had reviewed their performance for the QOF over the last year and achieved improved outcomes for patients with diabetes and mental health conditions.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice