We carried out an announced comprehensive inspection on 5 February 2019 to ask the service the following key questions; Are services safe, effective, caring, responsive and well-led?

Our findings were:

Are services safe?

We found that this service was providing safe care in accordance with the relevant regulations.

Are services effective?

We found that this service was providing effective care in accordance with the relevant regulations.

Are services caring?

We found that this service was providing caring services in accordance with the relevant regulations.

Are services responsive?

We found that this service was providing responsive care in accordance with the relevant regulations.

Are services well-led?

We found that this service was providing well-led care in accordance with the relevant regulations.

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the service was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

Bartholomew Health Centre is the venue used by Yorkshire Health Partners Limited, a Federation that offers a dermatology and minor surgery service to people who are referred by their GP. (A Federation is based on a group of practices working together within their local area, in some sort of collective legal or organisational entity. There are a number of different organisational forms that a federation can take. It can be a very loose arrangement, based, for example, on a MoU. Alternatively, a federation can be a legal entity, such as a company limited by shares or guarantee, a community interest company or a limited liability partnership).

The registered manager is the Chair of Yorkshire Health Partners Limited. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Our key findings were:

• The service had clear systems to manage risk so that safety incidents were less likely to happen. There was a process in place to enable the service to learn from incidents and improve their processes if incidents occurred. We found no incidents had occurred in the previous 12 months.
• 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.
• The GP maintained the necessary skills and competence to support the needs of patients and was up to date with all required training.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found it easy to access appointments and reported that they were able to access care when they needed it.
• Systems and processes were in place for managing governance in the service.

There were areas where the provider could make improvements and should:

• Review and improve the process for identifying clinical audits required.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice