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Reports


Inspection carried out on 2 August 2016

During an inspection to make sure that the improvements required had been made

Letter from the Chief Inspector of General Practice

When we visited Underwood Surgery in January 2016 we found concerns, related to the safe delivery of services. The practice was rated as requires improvement for safe and good for effective, caring, responsive and well led. Overall the practice was rated as good.

We found that the practice required improvement for the provision of safe services because improvements were needed in the way the practice assessed, managed and mitigated the risks associated in relation to safeguarding and non-clinical staff performing chaperone duties.

Underwood Surgery sent us an action plan that set out the changes they would make to improve these areas.

We visited the practice to undertake a focused inspection on 2 August 2016 to ensure the practice had made these changes and that the service was meeting regulations. At this inspection we rated the practice as good for providing safe services. The overall rating for the practice remains good. For this reason we have only rated the location for the key question to which this related. This report should be read in conjunction with the full inspection report of 14 January 2016.

Our key findings were:

  • The practice had robust processes in place to identify and protect vulnerable adults and children who could be at risk.
  • The practice had put in place procedures to ensure risks were mitigated in relation to non-clinical staff performing chaperone duties.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 14 January 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

When we visited Underwood Surgery in January 2016 we found concerns, related to the safe delivery of services. The practice was rated as requires improvement for safe and good for effective, caring, responsive and well led. Overall the practice was rated as good.

We found that the practice required improvement for the provision of safe services because improvements were needed in the way the practice assessed, managed and mitigated the risks associated in relation to safeguarding and non-clinical staff performing chaperone duties.

Underwood Surgery sent us an action plan that set out the changes they would make to improve these areas.

We visited the practice to undertake a focused inspection on 2 August 2016 to ensure the practice had made these changes and that the service was meeting regulations. At this inspection we rated the practice as good for providing safe services. The overall rating for the practice remains good. For this reason we have only rated the location for the key question to which this related. This report should be read in conjunction with the full inspection report of 14 January 2016.

Our key findings were:

  • The practice had robust processes in place to identify and protect vulnerable adults and children who could be at risk.
  • The practice had put in place procedures to ensure risks were mitigated in relation to non-clinical staff performing chaperone duties.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

CQC Insight

These reports bring together existing national data from a range of indicators that allow us to identify and monitor changes in the quality of care outside of our inspections. The data within the reports do not constitute a judgement on performance, but inform our inspection teams. Our judgements on quality and safety continue to come only after inspection and we will not make judgements on data alone.