This practice is rated as Good overall. (A previous inspection undertaken on 30 October 2014 had rated the practice as Good overall.)

The key questions 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 Leeds City Medical Practice on 19 April 2018, as part of our inspection programme.

At this inspection we found:

• The practice had clearly structured 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.
• Since the previous inspection the practice had introduced a clear and effective system to ensure staff who acted in the capacity of a chaperone were appropriately trained.
• There were a range of recorded checks relating to cleaning, equipment and emergency medicines. However, these were not always kept up to date at the Crossland Surgery site.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. They ensured that care and treatment was delivered according to evidence- based guidelines and best practice.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients were positive about the service, care and treatment they received at the practice.
• There was evidence of a cohesive team with a strong focus on continuous learning and improvement at all levels of the organisation. Staff were positive and enthusiastic regarding their work at the practice.
• There was a good use of skill mix and the practice were engaged with innovative schemes to support quality patient care and service delivery.

We saw an area of outstanding practice:

• There was a good use of skill mix and a comprehensive, co-ordinated approach to support care and treatment provided to those patients who were elderly, frail or had mental health needs.

The areas where the provider should make improvements are:

• Maintain clear written records of checks made at Crossland Surgery. For example, those relating to cleaning schedules and equipment checks.
• Complete the registration processes relating to the regulated activities provided, before they are recommenced.

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 Leeds City Medical Practice on 30 October 2014 and 3 November 2014. Overall the practice is rated as good.

The inspection team found the practice was safe, effective, caring, responsive and well led. It was also rated as good for providing services for all population groups.

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

• Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
• 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.
• There were positive working relationships between staff and other healthcare professionals involved in the delivery of service.

However, there were areas of practice where the provider should make improvements:

• The practice used nurses and health care professionals to act as a chaperone when required. However during busy periods members of the reception team were asked to provide this service. Some members of the reception team had not received appropriate chaperone training.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice