We carried out an announced comprehensive inspection on 13 September 2018 to ask the service the following key questions; Are services safe, effective, caring, responsive and well-led?

Our findings were:

Are services safe?

We found that this service was providing safe care in accordance with the relevant regulations

Are services effective?

We found that this service was providing effective care in accordance with the relevant regulations

Are services caring?

We found that this service was providing caring services in accordance with the relevant regulations

Are services responsive?

We found that this service was providing responsive care in accordance with the relevant regulations

Are services well-led?

We found that this service was providing well-led care in accordance with the relevant regulations

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

The lead clinician is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Seventy-five people provided feedback about the service through CQC comment cards. All the feedback was positive about the service provided.

Our key findings were:

• There was a system for reporting, investigating and learning from incidents, complaints and safeguarding issues.
• There were arrangements to respond to emergencies and major incidents.
• Staff were aware of current evidence based guidance and they were appropriately trained to carry out their roles.
• Quality improvement activity needed developing.
• People’s privacy and dignity was respected.
• The provider was focused on meeting the needs of the local population.
• Systems were in place to gather feedback from patients and staff.
• Feedback from patients was very positive about the staff and service received.
• There were appropriate arrangements for managing risk.

There were areas where the provider could make improvements and should:

• Review and develop quality improvement activity.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice