The Care Quality Commission
  • Doctor
  • GP practice

Grasmere Surgery

Overall: Good read more about inspection ratings

Leigh Health Centre, The Avenue, Leigh, WN7 1HR (01942) 483330

Provided and run by:
Grasmere Surgery

Important: The provider of this service changed - see old profile
Important: The provider of this service changed - see old profile
Important: The provider of this service changed - see old profile

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Grasmere Surgery on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Grasmere Surgery, you can give feedback on this service.

08 January 2020

During an inspection looking at part of the service

We carried out a focused inspection at Grasmere Surgery on 8 January 2020. The announced inspection was part of our inspection programme. Following a Care Quality Commission annual regulatory review to check for changes in quality we inspected the key questions effective and well led. We used information from our previous inspection findings for the key questions safe, caring and responsive. The practice was previously inspected on 12 April 2017 and was rated good overall.

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 provided care in a way that kept patients safe and protected them from avoidable harm.
  • 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.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
  • Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

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

  • 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.
  • The practice understood the needs of its population and tailored services in response to those needs.

We rated the practice as good for providing a well led service because:

  • There was a clear leadership structure and staff felt supported by management.
  • The practice had a number of policies and procedures to govern activity and held regular governance meetings.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of person-centre care.
  • The practice proactively sought feedback from staff and patients, which it acted on.

Whilst we found no breaches of regulations, the provider should:

  • Consider putting systems and processes in place for patients with long term conditions not covered by QOF that require a review. For example coeliac disease and for those diagnosed with gestational diabetes to ensure monitoring as advised by NICE.

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

12 April 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Grasmere Surgery on 12 April 2017. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

  • There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
  • The practice had defined and embedded systems to minimise risks to patient safety.
  • Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
  • Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients we spoke with said they found it easy to make an appointment with a GP but not always with their GP of choice. There was continuity of care, with urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.

We saw one area of outstanding practice:

  • The practice worked with the community link worker (CLW). The CLW took referrals for patients who needed extra help, but not necessarily medical help. We saw several examples that confirmed this had improved the health and well-being of patients accessing this service.

However there were areas of practice where the provider needs to make improvements:

Importantly the provider should:

  • Continue to monitor the practice system for identifying carers to increase the number recorded.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice