The Care Quality Commission
  • Doctor
  • GP practice

Archived: Ann Jones Health Centre Also known as Dr Vidhu Mayor

Overall: Good read more about inspection ratings

52 Chesterton Road, Birmingham, West Midlands, B12 8HE (0121) 255 0931

Provided and run by:
Modality Partnership

All Inspections

21 May 2019

During a routine inspection

We carried out an announced comprehensive inspection at Ann Jones Health Centre on 21 May 2019 to follow up on breaches of regulation we identified during our inspection in April 2018.

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 have rated this practice as good overall and good for all population groups.

We found that:

  • The practice had taken appropriate action and responded to the concerns we identified during our previous inspection.
  • The practice had improved their governance arrangements, including for management of risk, staff information and prescription stationery.
  • The practice continued to provide effective care and treatment.
  • Patient feedback was positive about staff. We received 35 CQC comments cards, all comments relating to staff were positive.
  • The practice had carried out their own patient survey. Feedback from patients was mostly positive about the care they had received and access to appointments.
  • The practice was responsive to individual patients’ needs.
  • The practice management team were experienced and capable of managing the practice. They were aware of the practice’s challenges and had acted to find appropriate solutions.

Whilst we found no breaches of regulations the practice should:

  • Continue to explore different ways to improve uptake with national cancer screening programmes.

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.

4 April 2018

During a routine inspection

This practice is rated as Requires improvement overall.

The key questions are rated as:

Are services safe? – Requires improvement

Are services effective? – Good

Are services caring? – Requires improvement

Are services responsive? – Good

Are services well-led? - Good


We carried out an announced comprehensive inspection at Ann Jones Health Centre on 4 April 2018 as part of our inspection programme.

At this inspection we found:

  • During the inspection, we found the practice had not identified certain risks that had the potential to cause harm, however, on becoming aware, the practice took immediate action to minimise risk.
  • When incidents did happen, the practice learned from them and improved their processes.
  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
  • There was mixed patient feedback about whether staff involved and treated patients with compassion, kindness, dignity and respect. The national patient GP survey had highlighted areas of patient dissatisfaction. However, the practice had not devised an action plan to try to address the issues raised.
  • Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
  • The practice understood its population group well, and had organised services accordingly.
  • There had been a recent change in clinical lead, however staff demonstrated they had dealt well with the change and the practice manager demonstrated strong organisational skills.

The areas where the provider must make improvements are:

  • The provider must establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care

The areas where the provider should make improvements are:

  • The provider should consider monitoring patients referred to social prescribing in order to evaluate effectiveness.
  • The provider should review the management of prescription stationery to ensure effective prescription security.
  • The provider should consider ways to further promote the uptake of screening for breast and bowel cancer.
  • The provider should consider how they collect and respond to patient feedback, to be able to demonstrate improvements in patient satisfaction.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice