25 January 2024
During an inspection looking at part of the service
We carried out an announced focused inspection at Sandringham Medical Centre on 24 January 2024. We did not award a rating as we did not inspect the whole of the domains.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Sandringham Medical Centre on our website at www.cqc.org.uk
Why we carried out this inspection
We carried out this inspection following information of concern received by the Care Quality Commission. We looked at specific information in the following key question:
- Safe – inspected but not rated.
How we carried out the inspection
This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.
This included:
- Conducting staff interviews using video conferencing.
- Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
- Reviewing patient records to identify issues and clarify actions taken by the provider.
- Requesting evidence from the provider.
Our findings
We based our judgement of the quality of care at this service on a combination of:
- what we found when we inspected
- information from our ongoing monitoring of data about services and
- information from the provider, patients, the public and other organisations.
We found that:
- The practice had provided care in a way that kept patients safe and protected them from avoidable harm.
- Incidents were investigated and learning identified to improve patient care.
Whilst we found no breaches of regulations, the provider should:
- Continue to improve the incident reporting and investigation process to make improvements to the service provision.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Health Care