This service is rated as  Good overall.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Outstanding

Are services responsive? – Good

Are services well-led? – Good

We carried out an announced comprehensive inspection at Richmond Medical Centre as part of our inspection programme of a new provider registration for the service. This was the first rated inspection for the service that was registered with CQC in August 2017.

The service provided non scalpel vasectomies for the purpose of sterilisation under local anaesthetic only.

The registered provider for the service was Primary Care Sheffield Limited who were contracted by the Sheffield Clinical Commissioning Group (CCG) to provide the service to patients of Sheffield on the NHS. The registered provider had a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service was run.

We spoke with two patients on the inspection day and received 36 CQC comment cards from patients who attended the service in January 2019 and March 2019. Feedback from patients was overwhelmingly positive about the service. They told us they appreciated the continuity of care of seeing the same staff throughout the process. They felt listened to and able to ask questions. They told us the GP was informative and reassuring and their dignity and respect had been considered which they told us they appreciated.

Our key findings were:

• The provider organised and delivered services to meet patients’ needs.
• The provider had systems and processes for managing risk.
• Staff were proud of the work they did and of the quality of service they provided.

We saw the following outstanding practice:

• There was a strong, visible person-centred culture. Staff were highly motivated and inspired to offer care that was kind and promoted people’s dignity.
• Patient feedback was excellent.
• Patient feedback and data analysis were used proactively by the GP lead and provider to identify opportunities to drive improvements in quality of care and patient experience.

The areas where the provider should make improvements are:

• Take action to include safeguarding children training updates as part of the quality assurance overview checks.
• Take action to update the clinical protocol to include the procedure staff take if the third post operative semen sample is reported positive.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care