Archived: Harraton Surgery

Harraton Surgery is located in the village of Harraton in the Washington area of Sunderland. Dr Inder Jeet Singh is the registered manager for Harraton Surgery.

At this inspection we found there was a lack of clear leadership and vision within the practice. Governance arrangements were unclear. Although staff told us about actions they had taken to improve the service, there was a lack of a documented audit trail to evidence this.

The practice could not demonstrate an understanding of what their key strengths were and what they had identified as areas for improvement. We found that practice was responsive in its approach to quality, rather than proactively planning for improvements. The provider was in breach of regulations relating to assessing and monitoring the quality of service; ensuring that premises were safe and accessible for patients, staff and visitors; and, having adequate processes in place to safeguard vulnerable children, young people and adults from abuse.

Patients told us they had no problems in accessing appointments and were usually able to get appointments quite quickly. Most patients also told us that staff treated them with dignity and were responsive to their needs.

We found care and treatment took account of recognised best practice standards and guidelines.

The majority of patients registered with the practice were of working age. There were approximately 200 patients registered with the practice over the age of 65, with a very small number of these living in a local care home. Of all patients, 51.1% were categorised as having a long term condition. Overall the practice made appropriate provision for each population group to ensure the practice  was caring. However, further improvements were required to make sure the practice was safe, effective, responsive and well-led.

Regulated activities

The practice registered with the Care Quality Commission (CQC) on 1 April 2013 to deliver care under the following regulates activities:-

• Diagnostic and screening procedures;
• Family planning;
• Maternity and midwifery services;
• Surgical procedures;
• and, Treatment of disease, disorder or injury. 

Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the CQC at that time.