The Care Quality Commission
  • Doctor
  • GP practice

St Peters Surgery

Overall: Good read more about inspection ratings

49-55 Portsmouth Road, Woolston, Southampton, Hampshire, SO19 9RL (023) 8043 8397

Provided and run by:
St Peters Surgery

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about St Peters 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 St Peters Surgery, you can give feedback on this service.

1 October 2019

During an annual regulatory review

We reviewed the information available to us about St Peters Surgery on 1 October 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

31 May 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

When we visited St Peter’s Surgery on 18 October 2016 to carry out a comprehensive inspection we rated them as good overall. However, we found the practice required improvement for the provision of safe services and said they must:

  • Ensure a comprehensive fire risk assessment is completed and actions are taken to improve fire safety.
  • Ensure an effective business continuity plan is completed and maintained so emergencies can be effectively managed.

We also said they should;

  • Review the processes for the identification and support of patients who may also have caring responsibilities, so that their needs are appropriately met.  
  • Review the processes for checking emergency equipment and medicines.  
  • Continue to review arrangements for routine appointments to give patients access in a timely way.

This inspection was an announced focused inspection carried out on 31 May 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified at our previous inspection. This report covers our findings in relation to those requirements. This report should be read in conjunction with the full report of our inspection on 18 October 2016, which can be found on our website at www.cqc.org.uk .

The practice is now rated as good for the provision of safe services. Overall the practice rating remains as good.

Our key findings were as follows:

  • The practice sent us a comprehensive fire risk assessment that met the regulatory requirements.
  • The practice had a business continuity plan that set out how they would respond to major incidents such as flooding or IT failure to minimise service disruption.
  • The practice had an appropriate system to ensure all emergency medicines and equipment was in date and suitable for use.
  • The practice had reviewed their arrangements for routine appointments to give patients access in a timely way.  We were told the practice reviewed this regularly and we saw evidence to confirm this.
  • The practice had reviewed how they identified and supported patients who may also have caring responsibilities. At our previous inspection in October we saw 15 patients had been identified as carers. On this inspection we saw the practice had identified 35 patients as carers. This equates to 0.7% of the practice list.  However, it is estimated that 10% of patients are carers. Therefore:

One area where the practice should make improvement is:

  • To continue to work to identify and supported patients who may also have caring responsibilities.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

18 October 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at St. Peters Surgery on 18 October 2016. 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 an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed, with the exception of those relating to fire safety and the management of business continuity.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients said there was continuity of care, with urgent appointments available the same day, however patients said there was more difficulty in making routine appointments.
  • 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 and complied with the requirements of the duty of candour.

The areas where the provider must make improvement are:

  • Ensure a comprehensive fire risk assessment is completed and actions are taken to improve fire safety.
  • Ensure an effective business continuity plan is completed and maintained so emergencies can be effectively managed.

The areas where the provider should make improvement are:

  • Review the processes for the identification and support of patients who may also have caring responsibilities, so that their needs are appropriately met.
  • Review the processes for checking emergency equipment and medicines.
  • Continue to review arrangements for routine appointments to give patients access in a timely way. 

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

5 September 2013

During a routine inspection

We spoke with ten patients who were visiting the surgery the day of our inspection. We also spoke with the three GP partners, practice manager, practice nurse and three administrative staff. Some of the patients told us said they'd 'never had any problems getting an appointment; I can be seen the same day if it's an emergency'. Whilst others stated they had problems getting through on the telephone especially in the morning. Overall patients were happy with the service they received from the surgery and the staff.

The provider had suitable arrangements in place that respected the dignity and privacy of patients'. The provider took proper steps to ensure patients were protected against the risks of receiving care or treatment that was inappropriate or unsafe.

There were suitable arrangements in place for all staff to be able to recognise and report safeguarding concerns to the relevant person and authority. Patients' were protected from the risk of infection because appropriate guidance had been followed.

Patients were cared and supported by, suitably qualified, skilled and experienced staff.

The provider had an effective system in place to identify, assess and manage risks to the health, safety and welfare of patient using the service and others.