This practice is rated 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

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

We carried out an announced comprehensive inspection at Ordnance Unity Centre for Health on 22 March 2018. The practice had previously incorrectly registered as an independent health service and had only recently come to our attention as an NHS GP service. It is now correctly registered.

At this inspection we found:

• 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. For example, we noted that care plans were detailed, comprehensive and regularly reviewed.

• Staff involved and treated patients with compassion, kindness, dignity and respect.

• Patient feedback was below local and national averages regarding appointments access but we saw evidence of how the practice was taking action to improve how people could access appointments in a way and at a time that suited them.

• Leaders worked closely with staff and prioritised compassionate and inclusive leadership.

• There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

• Continue to work with its Patient Participation Group (PPG) to monitor recent phone and appointments access changes and their impact on patient satisfaction surveys.

• Review systems in place for periodically checking functionality and expiry dates of emergency equipment.

• Continue to monitor actions taken to improve childhood immunisations uptake.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice