CQC PMS Inspections
Citygate
Gallowgate
Newcastle upon Tyne
NE1 4PA
Telephone: 03000 616161
Fax: 03000 616171
www.cqc.org.uk
Your account number: 1-584061325
Our reference: INS1-586538247
David Jones
DeMontfort Medical Centre
Burford Road
Evesham
Worcestershire
WR11 3HD
4 April 2016
Care Quality Commission
Health and Social Care Act 2008
Factual accuracy check
Location name: DeMontfort Medical Centre
Location ID: 1-584061325
Dear Dr Jones
Following our recent inspection of DeMontfort Medical Centre we have drafted the
inspection report which is enclosed for your information.
If you have any comments about factual inaccuracies in the report, please submit these
together as one response and send them to us by 20 April 2016. You can record your
comments in the attached factual accuracy comments log.
We would prefer you to send this information to us by email, to this address:
[email protected]. If you are unable to do so, please send it by post to the
address shown below.
Please include your account number (1-584061325) and our reference number (INS1586538247) in your letter or email as it may cause delay if you do not.
We will review your comments and amend the report if we consider it appropriate to do
so. If we do not accept your comments we will explain why.
If we do not receive any comments from you by the date shown above, we will finalise
the report and publish it on our website.
Your inspection report has been produced using our new approach to regulating and
inspecting. For NHS GP practices, part of the new approach will be the publication of
ratings for each location, at both key question and population group level. Ratings are
awarded on a four-point scale; ‘Outstanding’, ‘Good’; ‘Requires Improvement’, or
‘Inadequate’.
The table below shows the ratings this location has been awarded:
Safe
Effective
Caring
Responsive
Well-led
Overall
population
group
Older people
Good
Good
Good
Good
Good
Good
People with long
term conditions
Good
Good
Good
Good
Good
Good
Families, children
and young people
Good
Good
Good
Good
Good
Good
Working age
people and the
recently retired
Good
Good
Good
Good
Good
Good
People in
vulnerable
circumstances
Good
Good
Good
Good
Good
Good
People
experiencing poor
mental health
Good
Good
Good
Good
Good
Good
Overall Key
Question
Good
Good
Good
Good
Good
Overall location
Good
We ensure a fair process for setting ratings and will be transparent in investigating any
concerns. We will explain how and when you can request a review of your ratings in the
letter we send with the final report. You can only request a review of your ratings if you
think we have not followed our published process for awarding ratings.
If you have any questions about this letter, you can contact our National Customer
Service Centre using the details below:
Telephone: 03000 616161
Email:
[email protected]
Write to:
CQC PMS Inspections
Citygate
Gallowgate
Newcastle upon Tyne
NE1 4PA
Yours sincerely,
Kath Strong
CQC Inspector
Enclosed:
 Draft report
 Factual accuracy comment log
Factual accuracy comments log for the draft report
Please fill in all parts of this form and return by email to:
[email protected], or by post to: CQC PMS Inspections, Citygate, Gallowgate,
Newcastle upon Tyne, NE1 4PA
Account Number:
Our reference:
Location name:
Location address:
Page
number
e.g. Pg
10
4
6
9
Heading
e.g. Is the
Service
Safe?
Summary
of Findings
– Are
services
responsive
to people’s
needs
Families
Children
and Young
people
Detailed
Findings
1-584061325
INS1-586538247
DeMontfort Medical Centre
Burford Road, Evesham, Worcestershire, WR11
3HD
Suggested changes with
explanation
e.g. change last sentence
from 10 staff to 15 staff
Third bullet – extended
hours. The surgery is open
until 7.30pm every Monday
and the extended hours is
provided by GP, ANP and
2 practice nurses.
Extended hours for the
surgery is provided at the
Evesham Community
Hospital with a GP on
Monday, Wednesday and
Friday 6.30pm until 9pm
and Saturday morning 9am
until 1pm. May not be a
GP from the surgery.
See above – same
comment
CQC
decision CQC comments
e.g. explanation of
decision
or X
Yes
Amended
Yes
Amended
Right hand side third
paragraph and bullets
opening times and
extended hours incorrect.
Open 8am to 6.30pm
Tuesday to Friday.
Monday 8am to 7.30pm
extended hours as stated
in first box. Extended
hours for the surgery is
provided at the Evesham
Community Hospital with a
GP on Monday,
Wednesday and Friday
6.30pm until 9pm and
Yes
Amended
11
19
Overview
of safety
systems
and
processes
Access to
the service
Saturday morning 9am
until 1pm. May not be a
GP from the surgery.
Right hand side under
second bullet point. 14th
Line down states clinical
meetings held every two
months. This is incorrect
they are every two weeks.
See first suggested
change re opening hours
(Include additional rows if required)
Completed by (name(s))
Position(s)
Date
Yes
Amended
Yes
Amended