This practice is rated as Good overall. (Previous rating December 2014 – Good)

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Eastville Medical Practice on 23 October 2018 as part of our inspection programme.

At this inspection we found:

• The practice was sensitive to the cultural needs of their patient population, they organised and delivered services to meet patients’ needs and preferences.
• The practice worked in partnership and hosted, a number of organisations which could impact positively on the local community.
• We found there was an established enthusiastic partnership with good leadership and positive culture for developing and improving services.
• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

We saw one area of outstanding practice:

• The practice worked in partnership and hosted a number of organisations which could impact positively on the local community, for example they ran the Rose Clinic (a surgical reversal service for victims of female genital mutilation) for the Bristol area. To support patients to attend the Rose Clinic the practice had employed a clinically trained support worker who was able to translate for patients and had experience and understanding of the cultural nuances which may affect the women attending.

The areas where the provider should make improvements are:

• To take action to improve the uptake of cervical smears.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.