We carried out an announced comprehensive inspection at New Invention Health Centre on 17 November 2022. Overall, the practice is rated as Good.
We rated each key question as follows:
Safe - Good
Effective - Good
Caring - Good
Responsive - Good
Well-led - Good
Why we carried out this inspection
We carried out an announced comprehensive inspection at New Invention Health Centre as part of our inspection programme and to provide a rating for the service, as it had not been inspected before.
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.
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:
- There were effective systems and processes in place to ensure risks were assessed and managed.
- The practice had comprehensive systems in place for the appropriate and safe use of medicines, this included regular monitoring arrangements for patients on high risk medicines.
- There was a structured and coordinated approach to the management of patients care and treatment including those with long term conditions with effective clinical oversight.
- There were some gaps in the information documented in patients records such as clinical data to support advice and treatment decisions and children and adults in the same household with safeguarding concerns were not always cross referenced in the appropriate records.
- The practice was below the minimum requirements for the uptake of childhood immunisation and cervical cancer screening. The practice was taking action to improve uptake.
- Staff were provided opportunities for training and development with access to appraisals and supervision. There were assurance systems in place to demonstrate the competency of staff undertaking extended roles.
- Staff dealt with patients with kindness and respect. The national GP survey results showed the practice was mostly in line with the local and national average with questions relating to caring.
- The national GP survey results showed the practice was similar to the local average for areas relating to access such as overall experience of making an appointment, appointment times and appointments offered. However, patients experience of accessing care and treatment in a timely way was not consistent as it was not always easy to get through to someone at the practice on the phone. The practice was taking action to improve.
- The way the practice was led and managed promoted the delivery of high-quality, person-centred care.
- There was compassionate, inclusive and effective leadership at all levels. Leaders continue to develop capacity and skills with a commitment to delivering high quality, sustainable care.
- There was clear and effective accountability and oversight to support good governance.
Whilst we found no breaches of regulations, the provider should:
- Implement effective systems to monitor and review information documented in patients records including clinical data and the cross-referencing of records of children and adults in the same household with safeguarding concerns.
- Continue to monitor and take action to improve the uptake of cancer screening and childhood immunisation.
- Continue to monitor and take action to improve telephone access to enhance patients experience of the service.
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 Hospitals and Interim Chief Inspector of Primary Medical Services