We carried out an announced comprehensive inspection on 9 August 2021 to confirm that the provider had met the legal requirements in relation to the breaches of regulation, which were issued due to concerns identified at the previous inspection in September 2019, and to provide a re-rating of the location.
As a result of this inspection, the service was rated as good overall and good for all population groups.
Safe - Good
Effective - Good
Caring - Good
Responsive - Good
Well-led - Good
Following our previous inspection on 17 September 2019, the practice was rated as requires improvement and we issued requirement notices under Regulation 9 (person centred-care) and Regulation 12 (safe care and treatment) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
The full report for the previous inspection can be found by selecting the ‘all reports’ link for Wokingham Medical Centre on our website at www.cqc.org.uk
How we carried out the inspection
Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.
This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.
This included:
- Conducting staff interviews using video conferencing
- Completing clinical searches on the practice’s patient records system and discussing findings with the provider
- Reviewing patient records to identify issues and clarify actions taken by the provider
- Requesting documentary evidence from the provider
- A short 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 have rated this practice as good overall and good for all population groups.
We found that:
- The practice had continued to make improvements since our previous inspection in September 2019.
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- The practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic. This included involvement in the national programme of vaccinating the population against Covid-19.
- The practice had made improvements to its oversight and monitoring of fridge temperatures and authorisations to administer medicines (Patient Group Directions).
- 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.
- There were clear and effective processes for managing risks, issues and performance.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care
Whilst we found no breaches of regulations, the provider should:
- Continue to monitor and improve the patient satisfaction on access to the practice.
- Continue to monitor the uptake of cervical screening to meet the national target of 80%.
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