This practice is rated as Requires improvement overall. (Not previously rated)

The key questions at this inspection are rated as:

Are services safe? – Requires improvement

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Requires improvement

We carried out an announced comprehensive inspection at Greengates Medical Group on 21 November 2018. This was done as part of our inspection programme.

At this inspection we found:

• The practice lacked clear systems to manage risk and safety incidents.
• 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 treated patients with compassion, kindness, dignity and respect. Patients told us they were happy with the care they received.
• Patients reported that they were able to access care when they needed it.
• There was a lack of overarching governance within the organisation.

The areas where the provider must make improvements are:

• Ensure care and treatment is provided in a safe way to patients.
• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

The areas where the provider should make improvements are:

• Review and improve the locum GP pack, to enable locum GPs to effectively carry out their duties at the practice.

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

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