We carried out an announced inspection and site visit at The Royton and Crompton Family Practice on 26 September 2022. Overall, the practice is rated as Good.
Set out the ratings for each key question
Safe - Good
Effective - Good
Caring - Good
Responsive - Good
Well-led - Good
The practice was also rated Good at our previous inspection on 16 March 2016.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Royton and Crompton Family Practice on our website at www.cqc.org.uk
Why we carried out this inspection/review
This was a comprehensive inspection undertaken as part of our comprehensive inspection programme because the practice had moved premises and this was a new registration.
How we carried out the inspection/review
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
- Feedback from staff using questionnaires
- 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 have rated this practice as Good overall.
We found that:
- The practice cared for patients in a way that kept them safe and protected them from avoidable harm, this included safeguarding and management of risk.
- 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.
- 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 should:
- Put in place the new processes and audit system it has planned to monitor high risk medicines and identify patients who are overdue monitoring checks and call them in for the appropriate tests. In addition they should implement the new drug monitoring policy it has developed to help encourage patients to attend for monitoring checks.
- Check the records of patients with potential missed diagnoses of diabetes to correct any coding issues and ensure that all required referrals (such as eye screening) are made.
- Provide emergency steroid cards to patients prescribed more than 3 courses of oral steroids in the last 12 months.
- Catch up on the backlog of medication reviews and ensure that medication reviews are being done at least annually.
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 Hospitals and Interim Chief Inspector of Primary Medical Services