We carried out an announced focussed inspection at Dr WHM Matta & Partners, also known as Leagrave Surgery, 10 December 2019 as part of our inspection programme.
We decided to undertake an inspection of this service following our annual review of the information available to us. This inspection looked at the following key questions:
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 have rated this practice as good overall and good for all population groups.
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. Current best practice guidelines were followed.
- Clinical audit was used to demonstrate quality improvement.
- Unverified data showed the practice had made improvements to performance indicators.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
- Staff were aware of their roles and responsibilities and informed us they were supported by the practice management and GP partners.
- The practice was working as part of a Primary Care Network to maintain and improve the services they offered. This helped the practice as they were restricted in expanding clinical services due to the size of their premises.
- The practice uptake for cervical screening was below the 80% NHS England target.
- The practice did not have an active Patient Participation Group (PPG). They had made plans with their Primary Care Network to form a network wide PPG
Whilst we found no breaches of regulations, the provider should:
- Increase the uptake of cervical screening for eligible patients in the practice.
- Continue to work with patients to sustain a PPG.
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