Archived: Clover Health Centre

This inspection was an announced comprehensive inspection, which we undertook on 28 August 2019 under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This report covers our findings in relation to those requirements.

The practice was rated good overall and for the effective, caring, responsive and well-led key question. The safe key question was rated as requires improvement.

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 and the public.

We rated the practice as requires improvement for providing safe services because:

• The practice’s process for monitoring patients’ health in relation to the use of high-risk medicines required improvement.
• All necessary recruitment checks including references had been undertaken for staff.
• Staff who carried out chaperoning had received training and were aware of their responsibilities.

We rated the practice as good for providing effective services because:

• The practice had carried out quality improvement activity for patients on the practice list and those in their care homes.
• Staff were appropriately trained to carry out their duties effectively.

We rated the practice as good for providing caring services because:

• We received 15 CQC comment cards, 14 were wholly positive about the care and treatment received at the practice.
• We observed staff treating patients with respect and patients interviewed confirmed this.
• We observed staff treating patients with respect and dignity.
• Feedback from the practice’s patient survey showed that patients were mainly pleased with the care and treatment provided.

We rated the practice as good for providing responsive services because:

• Feedback from patients led to a new telephone system, and complaints were responded to appropriately and within the practice’s timeframe.
• Shared care agreements were in place to ensure patient treatment was coordinated.

We rated the practice as good for providing well-led services because:

• Staff understood the practice’s vision, values and strategy, and their role in achieving them.
• Arrangements with partners and third-party providers were governed and managed effectively to encourage appropriate interaction and promote coordinated, person-centred care.

There were areas were the practice must make improvements:

• Ensure care and treatment is provided in a safe way to patients.

There were areas were the practice should make improvements:

• Continue to take steps to improve the identification of carers to offer support.
• Review process for updating the practice’s policies within a timely manner.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care