10 August 2023
During a routine inspection
We carried out an announced comprehensive inspection at Hawthorn Medical Centre on 10 August 2023. Overall, the practice is rated as good.
Safe - good
Effective - good
Caring - good
Responsive - good
Well-led - good
Following our previous inspection on 30 April 2018, the practice was rated good overall and for all key questions.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Hawthorn Medical Centre on our website at www.cqc.org.uk
Why we carried out this inspection
We carried out this inspection in line with our inspection priorities.
Key questions inspected:
- Safe
- Effective
- Caring
- Responsive
- Well-led
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.
- 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 and
- information from the provider, patients, the public and other organisations.
We found that:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- Information from complaints and significant events was used to drive improvement.
- Staff were provided with appropriate training and development to carry out their role.
- Patients received effective care and treatment that met their needs.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- Patients could access care and treatment in a timely way, where improvements were needed the practice actively review the range and type of appointments provided.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
- Staff were supported by leaders and there was an open culture which allowed ideas and concerns to be shared and acted upon.
Whilst we found no breaches of regulations, the provider should:
- Continue to review arrangements of doors to promote fire safety.
- Continue with the action plan developed as a result of the findings from the clinical searches carried out as part of the inspection.
- Continue with the action plan developed by the practice manager in relation to systems and processes.
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