This practice is rated as good overall.

The key questions are rated as:

Are services safe? – Good

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 Grange Medical Centre on 5 April 2018 as part of our inspection programme.

At this inspection we found:

• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them, and improved their processes.
• The new provider had thoroughly reviewed the effectiveness and appropriateness of the care it provided. They ensured that care and treatment was delivered according to evidence- based guidelines and best practice.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• The practice had an established and engaged Patient Participation Group (PPG) who were integral to the development of the practice.
• The national GP patient survey data showed that patient satisfaction was generally below CCG and national averages. However, a recent patient survey undertaken by the new provider and responses provided to CQC on the day of inspection did not align with this.
• Patients told us they found the appointment system easy to use and reported that they were able to access care when they needed it.
• There was a strong focus on improvement at all levels of the organisation.
• Regular and effective meetings were held at the practice but we found that meeting minutes did not always reflect the level of detail which staff assured us was discussed.

The areas where the provider should make improvements are:

• Continue to review and act upon the results of patient satisfaction surveys in order to meet the needs of their patient population in the future.
• Continue to improve the identification of carers to enable this group of patients to access the care and support they require.
• Take action to ensure that meeting notes fully reflect all the areas discussed.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice