28 June 2023
During an inspection looking at part of the service
We carried out an announced focused inspection at The Broadshires Health Centre from 27 to 29th June 2023. Overall, the practice is rated as good.
Safe - good
Effective - good
Responsive - good
Well-led - good
Following our previous inspection published in April 2017 we rating the practice as Good.
The full reports for previous inspections can be found by selecting the 'all reports' link for The Broadshires Health Centre on our website at www.cqc.org.uk
Why we carried out this inspection
We undertook this inspection as we were made aware of risks associated with a loss of staff and leadership team members which potentially impacted on the ability of the service to provide appropriate service standards to patients. Therefore we undertook a focused inspection including the key questions of safe, effective, responsive and 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 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:
- 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.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- Innovation was encouraged by leaders and staff participated in quality improvement activity.
- 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-centre care.
We found no breaches of regulations. The provider should:
- Continue to implement the revised monitoring systems for patients on repeat medicines and prescribing subject to patient safety alerts.
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