This service 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 Old Court House Surgery GP Hub on 18 April 2019 as part of our inspection programme.

At this inspection we found:

• The service had good systems to manage risk so that safety incidents were less likely to happen. When they did happen, the service learned from them and improved their processes. However, the service had not undertaken a comprehensive fire risk assessment.
• The service reviewed the effectiveness and appropriateness of the care it provided; however, the service had not undertaken any clinical audits. It ensured that care and treatment was delivered according to evidence- based guidelines.
• Staff involved and treated people with compassion, kindness, dignity and respect.
• Patients were able to access care and treatment from the service within an appropriate timescale for their needs.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

• Review service procedures to ensure comprehensive fire risk assessment is undertaken.
• Review service procedures to ensure clinical audits are undertaken.
• Review service procedures to ensure the results of medical records review are shared with relevant staff.
• Review service procedures to ensure patient consent is recorded for health checks.
• Consider providing appraisals for temporary nursing staff.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care