16 August 2023
During a routine inspection
We carried out an announced comprehensive inspection at Eastwood Group Practice on 16 August 2023.
Overall, the practice is rated as Good.
Safe - Requires Improvement
Effective - Good
Caring - Good
Responsive - Good
Well-led - Good
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Dr Syeda Talet Zaidi on our website at www.cqc.org.uk
Why we carried out this inspection.
We carried out this inspection in line with our inspection priorities.
During this inspection we looked at the key questions:
Safe
Effective
Caring
Responsive
Well-led
How we carried out the inspection
This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.
This included:
- Conducting staff interviews using video conferencing.
- Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
- Reviewing patient records to identify issues and clarify actions taken by the provider.
- Requesting evidence from the provider.
- A short site visit.
- Face to face interviews with staff
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 found that:
- The practice didn’t always provide care in a way that kept patients safe and protected them from avoidable harm. The procedure for responding and acting to safety alerts was not effective.
- 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.
- 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.
- There was understanding, inclusive, and effective leadership at all levels.
- We found a strong collaboration, across the practice teams to support a common focus of improving the quality and sustainability of patients’ care and experiences.
- We saw governance procedures were proactively reviewed and reflected best practice.
- There was a demonstrated commitment to best practice performance, and risk management systems and processes.
- The practice reviewed and ensured that staff at all levels had the skills and knowledge to perform their roles effectively. We found when problems were identified they acted quickly, openly, and learned from them.
Whilst we found no breaches of regulations, the provider should:
- Finalise the work to record the immunisation status for all staff.
- Continue to improve the prescription rates for Nitrofurantoin 50 mg tablets and capsules, Nitrofurantoin 100 mg m/r capsules, Pivmecillinam 200 mg tablets and Trimethoprim 200 mg tablets prescribed for uncomplicated urinary tract infection.
- Ensure that the new process for processing safety alerts is embedded and audited.
- Continue to improve the uptake for cervical screening.
- Continue to collect feedback from patients regarding the care and treatment they receive and act on that feedback.
- Continue with the ongoing actions to improve patient access to appointments.
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