We carried out an announced inspection at Wingerworth Medical Centre on 20 and 25 April 2022. Overall, the practice is rated as Good. We rated the key questions:
Safe: Good
Effective: Good
Caring: Good
Responsive: Outstanding
Well-led: Good
Wingerworth Medical Centre was previously registered at a different address. It was inspected on 28 November 2016 and rated good overall and in all key questions. The previous report was archived in July 2017.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Wingerworth Medical Centre on our website at www.cqc.org.uk
Why we carried out this inspection
This inspection was a comprehensive inspection because the practice had not previously been inspected at this location. It covered:
How we carried out the inspection
Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.
This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.
This included:
- Conducting staff interviews using video conferencing.
- Completing clinical searches on the practice’s patient records system and discussing findings with the provider.
- Reviewing patient records to identify issues and clarify actions taken by the provider.
- Requesting evidence from the provider.
- A short site visit.
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
- information from the provider, patients and other organisations.
We have rated this practice as Good overall and in all key questions except responsive which we rated as outstanding.
We found that:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- Patients received effective care and treatment that met their needs.
- There were systems in place to monitor high-risk medicines and monitoring of patients with long-term conditions. However, a clear audit trail of recording that blood test monitoring had been completed was not always maintained. Where issues were identified, the practice had action plans in place to mitigate any potential risks.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care. Patient feedback about care and treatment was very positive.
- The practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic. Patients could access care and treatment in a timely way.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
- The practice demonstrated a strong focus on continuous learning, improvement and innovation.
We rated the practice as outstanding for responsive because:
- The practice had responded to the needs of its population by delivering services differently. For example, virtual evening education sessions for parents of children and young adults who were experiencing poor mental health, patients going through the menopause and engaging with men to promote improved mental and physical health.
- The practice had provided educational sessions for children at a local primary school on how to deal with medical emergencies, 999 calls and choking.
- To increase the physical activity of patients, the practice had organised a charity event to encourage patients to walk, run or cycle a specified distance each month. They achieved a cumulative distance of 4,444 miles and raised £5000 for the local hospice.
- Patients were extremely positive about access to appointments at the practice. All four indicators from the national GP survey were above the local and national averages with 95% of respondents stating they were satisfied with the appointment offered and 91% stating it was easy to get through to the GP practice on the telephone.
Whilst we found no breaches of regulations, the provider should:
- Maintain a clear audit trail of checking blood test results in patients’ records before issuing repeat prescriptions for high risk medicines and patients with long-term conditions.
- Embed into practice their action plans to follow up on patients with diabetic retinopathy, asthma and potential diabetes.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care