We carried out an announced comprehensive inspection at Dr Cassidy & Partners also known as Ashfield Medical Centre, on 16 May 2018. The overall rating for the practice was good with the practice rated as requires improvement for being effective and well-led.
From the inspection on 16 May 2018, the practice was told they must:
- Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
In addition, the practice was told they should:
- Undertake regular review and analysis of significant events and complaints to identify and trends and areas of risk or improvement.
- Undertake regular fire drills.
- Encourage eligible patients to undertake NHS health checks for those aged 40 to 74 years.
- Continue with efforts to improve uptake of national cancer screening programmes.
- Continue to identify and support carers in their population.
- Continue with efforts to improve patient satisfaction and performance in the national GP patient survey; with particular regard for patient experience during GP consultations and with the telephone system.
- Establish a structured meeting system for the practice team in line with staff feedback.
The full comprehensive report on the inspection carried out in May 2018 can be found by selecting the ‘all reports’ link for Dr Cassidy & Partners on our website at.
This inspection was an announced comprehensive inspection at Dr Cassidy and Partners undertaken on 22 January 2019 as part of our inspection programme to follow up on concerns identified at our previous inspection.
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.
The practice is rated as requires improvement for providing safe services because:
- Not all safety systems were well governed and operating effectively. For example, those related to the management of safety alerts needed strengthening.
We found that:
- When incidents happened, the practice learned from them and improved their processes.
- Patients received effective care and treatment that met their needs.
- Systems for monitoring staff competencies and registrations had been developed.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
- Patients we spoke with were positive about improvements made to the appointment system. However, patient’s satisfaction in the national GP patient survey with access to the practice through the telephone system was low.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
- The practice team displayed a willingness to learn and improve.
The areas where the provider must make improvements are:
- Ensure care and treatment is provided in a safe way to patients. (Please refer to the requirement notice section at the end of the report for more detail).
The areas where the provider should make improvements are:
- Continue with efforts to identify and support carers within the practice population.
- Continue with efforts to improve patient satisfaction with particular regard to the areas highlighted in the results of the national GP patient survey as being in need of improvement.
- Monitor staff training to ensure timely completion of mandatory training.
- Complete proposed testing for staff to provide assurance on staff immunity status.
- Continue with efforts to reduce prescribing of antibacterial and hypnotic medicines where appropriate.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice