The Care Quality Commission
  • Doctor
  • GP practice

Clover City Practice

Overall: Good read more about inspection ratings

Central Health Clinic, Mulberry Street, Sheffield, S1 2PJ (0114) 305 4050

Provided and run by:
Primary Care Sheffield Limited

Important: The provider of this service changed. See old profile

All Inspections

30 November 2023

During an inspection looking at part of the service

We undertook a targeted assessment of the responsive key question at Clover City Practice. The rating for the responsive key question is requires improvement. As the other domains were not reviewed during this assessment, the rating of good will be carried forward from the previous inspection for safe, effective, caring and well-led and the overall rating of the service will remain Good.

Safe – not inspected, rating of good carried forward from previous inspection

Effective - not inspected, rating of good carried forward from previous inspection

Caring - not inspected, rating of good carried forward from previous inspection

Responsive – requires improvement

Well-led - not inspected, rating of good carried forward from previous inspection

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Clover City Practice on our website at www.cqc.org.uk

Why we carried out this assessment.

We carried out a targeted assessment of the responsive key question. Targeted assessments enable us to focus on certain key questions to explore particular aspects of care.

How we carried out the assessment

  • This assessment was carried out without a site visit.
  • Conducting staff interviews using video conferencing.
  • Requesting evidence from the provider and reviewing the appointment system.

Our findings

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

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

We found that:

  • Although some people were able to access care and treatment in a timely way with the national GP patient survey data showing patients’ overall experience of making an appointment had improved from the previous year, it also showed patient satisfaction had deteriorated over time with regard to accessing the practice by telephone.
  • The provider had reviewed patient feedback and had developed an action plan to implement a new appointment system planned for January 2024. However, this was not in place at the time of the assessment.
  • Complaints were satisfactorily handled in a timely manner.

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

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Health Care

15 July 2022

During a routine inspection

We carried out an announced comprehensive inspection at Clover City Practice on 14 and 15 July 2022. Overall, the practice is rated as Good. The rating for each key question is:

Safe - Good

Effective – Good

Caring – Good

Responsive - Good

Well-led – Good

Why we carried out this inspection

This inspection was a comprehensive inspection of a new provider for the location. The previous provider was the NHS Foundation Trust. However, the new provider had previously carried out the day to day management of the service in conjunction with the Trust. Primary Care Sheffield Limited took over the responsibility of the location in July 2021 and changed their registration with the Commission to be the registered provider for the regulated activities.

How we carried out the inspection

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included:

  • Conducting staff interviews using video and telephone conferencing.
  • Completing clinical searches on the practice’s patient records system and discussing findings with the provider.
  • Reviewing patient records to identify issues and clarify actions taken by the provider.
  • Requesting evidence from the provider.
  • Requesting staff to complete a short questionnaire.
  • A short visit to the practice.

Our findings

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 found that:

  • The practice 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. Clinical searches and medical records we reviewed showed effective management and monitoring of patients with long-term conditions although prevention data required review.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice had adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic. Patients could access urgent care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centred care.

Whilst we found no breaches of regulations, the provider should:

  • Continue to improve uptake of all national screening programmes.
  • Embed the medication review procedure and ensure all medications are reviewed as part of the process.
  • Improve monitoring oversight of outstanding tasks on the clinical system and ensure routine referral letters are processed in a timely manner.

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