24 August 2021
During an inspection looking at part of the service
We carried out a desk top focused review of Coniston Medical Practice on 24 August 2021. Overall, the practice is rated as Good.
The key question ratings are as follows:
Safe - Good
Effective – Good (Carried forward from the last inspection in November 2020)
Caring – Good (Carried forward from the last inspection in November 2020)
Responsive – Good (Carried forward from the last inspection in November 2020)
Well-led – Good (Carried forward from the last inspection in November 2020)
Following our previous inspection on 2 November 2020, (published 9 December 2020), the practice was rated good overall and for the effective, caring, responsive and well-led key questions. All population groups were also rated good but the safe key question was rated requires improvement. The practice was rated as requires improvement for safe due to gaps in the practice’s oversight of premises and equipment safety checks.
The full reports for previous inspections can be found by selecting the ‘read previous reports’ link for Coniston Medical Practice on our website at www.cqc.org.uk
Why we carried out this desk top review
This desk top review was undertaken to review information submitted by the provider. The review did not include a site visit.
The purpose of the review was to follow up on:
• The requires improvement rating from the previous inspection for the safe key question.
• The breaches of regulations for Regulation 12 (safe care and treatment) identified at the last inspection.
• Progress with ‘shoulds’ identified in previous inspection.
How we carried out the review.
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 reviews differently.
This review was carried out remotely to eliminate the need for a site visit and involved requesting information and evidence from the provider as part of the process.
Our findings
We based our judgement of the quality of care at this service on a combination of:
- what we found when we inspected previously.
- 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 and Good for all key questions and population groups.
We found that:
- The provider had completed a log to confirm portable applicances had been appropriately inspected and had made arrangements for the condition of the electrical wiring installation and clinical equipment used in the practice to be independently inspected, calibrated and tested.
- The provider also provided assurance as part of this desk top review that they had taken action to respond to any ‘shoulds’ that were recommended at the last inspection. For example, in relation to the recording of two-week wait referrals; updating of the dispensary standard operating procedures and recruitment procedure; the recording of maximum and minimum fridge temperatures; the review of systems for the management of patients on high risk medicines; the provision of additional coding training for staff and to improve cervical screening uptake.
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