This practice is rated as good overall.

The key questions are rated as:

Are services safe? – Requires Improvement

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Ashmore Park Health Centre on 18 April 2018 as part of our inspection programme.

At this inspection we found:

• When incidents happened, the practice learned from them and improved their processes.
• The practice had systems to keep patients safe and safeguarded from the risk of abuse.
• Staff recruitment practices were not in line with legal requirements.
• Systems had not been implemented to ensure that health and safety risk assessments were completed.
• Effective systems were not in place to monitor training completed by staff and some staff had not received mandatory training.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it. However, some patients expressed concerns about the length of time they had to wait at their appointment.
• The patient participation group was active.
• There was a strong focus on continuous learning and improvement at all levels of the organisation. There were some gaps in the practice’s governance arrangements.

The areas where the provider must make improvements as they are in breach of regulations are:

• Ensure care and treatment is provided in a safe way to patients
• Ensure specified information is available regarding each person employed.

For details, please refer to the requirement notices at the end of this report.

The areas where the provider should make improvements are:

• Review the arrangements for the ongoing maintenance of all equipment used at the practice to ensure it is safe to use.
• Implement clearly identified systems to monitor staff receive training and are up to date in health and safety related topics.
• Review the induction records to make sure the induction process reflects individual staff roles.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice