We carried out an announced comprehensive inspection at Toftwood Medical Centre on 25 April 2019 as part of our inspection programme. This was the first inspection of this location.

This practice is rated as Good overall.

The key questions at this inspection are rated as:

Are services safe? – Requires Improvement

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

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 rated the practice as requires improvement for providing safe services because:

• The provider did not ensure the premises were safe for their intended use: The provider did not have an up to date fire risk assessment and had not taken all of the recommended actions to address risks identified in the last risk assessment.
• At the time of inspection, the service did not have all of the recommended emergency medicines or a risk assessment mitigating the absence of some medicines. Following the inspection, the provider ensured these medicines were available.

However, we also found that:

• The practice otherwise provided care in a way that kept patients safe and protected them from avoidable harm.
• Patients received effective care and treatment that met their needs.
• Staff dealt with patients with kindness and respect and involved them in decisions about their care.
• The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
• The way the practice was led and managed promoted the delivery of high-quality, person-centred care.

The areas where the provider must make improvements are:

• Ensure care and treatment is provided in a safe way for service users.

We identified areas where the provider could improve and should:

• Monitor and review the process for authorising staff to administer medicines under patient group directions.
• Continue to monitor immunisation uptake data to ensure national and international targets are met in all areas.
• Continue to monitor and improve prescribing performance.

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

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care