We carried out an announced comprehensive inspection at OHP-Dr G Horton's Practice on 21 March 2019.

This practice was inspected in July 2016 under its previous provider registration, we rated the practice as good overall. This inspection was the first since the practice registered with the new provider Our Health Partnership (OHP). We have rated the practice as good overall.

We based our judgement of the quality of care at this service on a combination of:

• what we found when we inspected
• information from our ongoing monitoring of data about services and
• information from the provider, patients, the public and other organisations.

We have rated this practice as good overall.

We rated the practice as good for providing safe, effective, caring,responsive and well led services because:

• The practice had adequate 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 practice reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence based guidelines.
• Staff dealt with patients with kindness and respect and involved them in decisions about their care. The results of the national GP patient survey showed the practice was above the local and national averages in questions relating to confidence, trust and patients overall experience of the GP practice
• The practice had responded to patient feedback to improve access.
• There was strong and visible leadership which supported governance. Systems and processes were in place for learning, continuous improvement and innovation.

The areas where the provider should make improvements are:

• Review the exception reporting rates for patients with Osteoporosis to ensure patients are exception reported appropriately.
• Consider how to increase the uptake for immunisations and cancer screening and explore ways to improve cancer detection rates.
• Continue to monitor patient satisfaction in relation to access and explore ways to improve.
• Ensure systems are in place to capture all types of complaints so that themes and trends can be identified and acted on.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice