This practice is rated as requires improvement.

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? - Requires improvement

We carried out an announced comprehensive inspection at Clifton Medical Centre on 26 September 2018. The practice was a new location registered by the provider Dr Devanna Manivasagam on September 2017,and was inspected as part of our inspection programme.

At this inspection we found:

• There were some systems and processes in place to keep people safe such as the appropriate and safe use of medicines and safeguarding procedures. However, not all risks had been assessed and managed effectively.
• Patients’ health was monitored in relation to the use of medicines and followed up on appropriately.
• The practice reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence based guidelines. However, improvements were required to promote the uptake of cervical screening.
• 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.
• There was a lack of leadership oversight to ensure good governance. Systems and processes were not always fully embedded to ensure risks were assessed and managed effectively.

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

• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

The areas where the provider should make improvements are:

• Have systems in place to confirm that the defibrillator is in good working order.
• Facilitate improvements in the uptake of breast and bowel cancer screening.
• Consider how to further increase uptake for cervical screening to ensure the minimum coverage target for the national screening programme is met.
• Continue to identify the number of carers registered at the practice so they can be offered further help and support.
• Take appropriate action to protect patient confidentiality during all consultations.

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