The Birches Medical Centre

During an assessment under our new approach

Date of assessment: 24 June to 10 July 2024. We conducted this assessment due to the legal entity change of this provider and because we received information of concern. We have not previously rated this service. This assessment did not cover all parts of our Single Assessment Framework; therefore, we have only updated scores and ratings for those areas which we have assessed. We will carry out future assessments to cover other parts of the Framework and will update our website with the findings. We assessed all quality statements from the well-led key question and found areas of concern. Overall, the practice is unrated with the well led key question rated as requires improvement. At this assessment, we found effective arrangements were in place for partnership working and for improvement and innovation. However, we found improvements were needed to ensure governance systems for the oversight of recruitment and training were effective. Improvements were needed to ensure policies, procedures and guidance could be easily accessed by staff and newly written policies needed time to be embedded in practice. We found 1 breach of regulation for governance. We have asked the provider for an action plan in response to the concerns found at this assessment.

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