Moxley Medical Centre

We previously carried out an announced comprehensive inspection at Moxley Medical Centre on 7 November 2019 as part of our inspection programme. We rated the practice as inadequate for providing safe, effective and well led services. We took enforcement action to cancel the registration of the provider. The full comprehensive report for the November 2019 inspection can be found by selecting the ‘all reports’ link for Moxley Medical Centre on our website at www.cqc.org.uk.

The Care Quality Commission (CQC) registered a new partnership in respect of Moxley Medical Centre in April 2020. The regulatory history was carried forward as one of the GP partners had been registered as the previous provider for the service.

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 rated each population group as good except for working age people which we rated as requires improvement in the effective domain. This was because the target for cervical cancer screening had not been met.

We found that:

• The new Moxley GP partnership had brought about improvements to the management and leadership of the practice. The practice also benefitted from being aligned to a larger organisation (Health and Beyond), through clinical and non-clinical support.
• Staff spoke highly about the new provider and commented that leaders were visible and approachable. Staff felt supported and valued in their work.
• Clinical staff were clear about their roles and responsibilities and worked within their competencies.
• Governance structures and systems had been introduced and were embedding within the practice.
• Communication had improved through the introduction of structured meetings, including two weekly clinical meetings.
• Processes for managing risks, issues and performance were in place. Test results and correspondence from secondary care were followed up and acted upon appropriately and correctly recorded in patient records.
• The practice had commenced a programme of quality improvement, which involved all clinical staff including the nursing team. A number of clinical audits had been completed.
• The culture of the practice and the way it was led and managed drove the delivery and improvement of high-quality, person-centred care.
• There was a focus on continuous learning and improvement at all levels of the organisation. For example: sharing learning from audits and significant events across the staff team.
• The practice had appointed additional clinical staff in allied health care roles, which provided a range of different appointments for patients.
• Improvements had been made to medicines management, including safe storage and availability of emergency medicines.
• Patients received effective care and treatment that met their needs and was planned and delivered according to evidence-based guidelines.
• The practice provided care in a way that kept patients safe and protected them from avoidable harm.
• Patients told us they had seen improvements at the practice and welcomed the extended range of health care professionals, which provided more options for appointments.

Whilst we found no breaches of regulations, the provider should:

• Explore and implement strategies to meet the WHO based 95% target for uptake of childhood immunisations.
• Explore and implement strategies to increase the uptake of cervical screening.
• Ensure that minutes of meetings are shared with all staff who work at the practice.

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