Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Crown Medical Practice on 16 November 2015. Overall the practice is rated as Good.

Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the CQC at that time.

Our key findings were as follows:

• Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
• Risks to patients were assessed and well managed.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
• Patients said they were treated with dignity and respect and they were involved in their care and decisions about their treatment.
• Patients told us they could get an appointment when they needed one. Urgent appointments were available the same day.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and staff felt supported by management. The practice acted on feedback from staff and patients.

There were areas of practice where the provider needs to make improvements.

The provider should:

• Follow national guidelines when completing an infection prevention control audit.
• Ensure Health and Safety management is aligned with the guidelines as laid down by the Health and Safety Executive (HSE).
• The wall in the nurse’s room was damaged. Ensure a risk assessment is taken to mitigate the risk of infection to staff and patients.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

We reviewed the information available to us about Crown Medical Practice on 12 April 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.