We carried out a review of the data available to us about Doctors Lane 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 Doctors Lane Surgery, you can give feedback on this service.
We carried out a targeted assessment of Doctors Lane Surgery in relation to the responsive key question. This assessment was carried out on 8 December 2023 without a site visit. Overall, the practice is rated as Good. We rated the key question of responsive as Good.
Safe - Good
Effective – Good
Caring - Good
Responsive – Good
Well-led – Good
The full reports for previous inspections can be found by selecting the ‘all reports’ link for the
Doctors Lane Surgery on our website at www.cqc.org.uk
Why we carried out this review
We carried out this assessment as part of our work to understand how practices are working to try to meet demand for access and to better understand the experiences of people who use services and providers.
We recognise the work that GP practices have been engaged in to continue to provide safe, quality care to the people they serve. We know colleagues are doing this while demand for general practice remains exceptionally high, with more appointments being provided than ever. In this challenging context, access to general practice remains a concern for people. Our strategy makes a commitment to deliver regulation driven by people’s needs and experiences of care. These assessments of the responsive key question include looking at what practices are doing innovatively to improve patient access to primary care and sharing this information to drive improvement.
How we carried out the assessment
This assessment was carried remotely.
This included:
Our findings
We based our judgement of the quality of care at this service on a combination of:
We found that:
We rated responsive as good because:
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Health Care
We carried out an announced comprehensive inspection at Doctors Lane Surgery, Aldbrough St John, Richmond, North Yorkshire DL11 7TH on 21 February 2019. Our inspection team was led by a CQC inspector and included a GP specialist advisor and a CQC Pharmacist.
Our judgement of the quality of care at this service is based 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.
We concluded that:
Whilst we found no breaches of regulations, the areas where the provider should make improvements are:
The practice should havea regular documented stock balance for controlled drugs. Prescription stationary was recorded upon receipt into the practice and stored securely. However, the practice should review and improve the process for tracking prescriptions throughout the practice.
Details of our findings and the evidence supporting our ratings are set out in the evidence table.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice
We carried out an announced comprehensive inspection at Doctors Lane Surgery on 30 June 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
We saw some areas of outstanding practice:
The practice’s care of older people. The practice was working with two other practices as part of a frailty pathway project. The outcome aims of the project included areas such as improved patient satisfaction and quality of life, and improved recognition and diagnosis of frailty. The project was in phase one. Early outcomes from Doctors Lane Surgery demonstrated positive results and that appropriate care and referrals were made to support these patients. For example, of the 87 patients identified for the project, three had been referred to continence, 12 to the falls service, four to the memory clinic, 18 to podiatry, six for hearing aid assessments and 27 to HOT clinic. The function of a HOT clinic is to assess and address patients’ needs rapidly within a multidisciplinary structure with the aim being to link with community teams to ensure appropriate care provision is in place.
The practice offered ‘MyGP' an electronic way for patients to communicate with GPs for routine queries. This was of particular benefit for this rural practice.
The practice offered a range of services as part of the ‘Out of Hospital Basket’ enhanced service aimed at providing care closer to patients home. For example deep vein thrombosis diagnosis and treatment, management of stable prostate cancer patients within the community and routine ring pessary fitting and replacement.
If a patient was receiving end of life care then families/carers were provided with the GPs’ personal numbers. If needed and if possible the GP would attend the patient out of hours.
The areas where the provider should make improvement are:
The practice should ensure recruitment arrangements are in line with Schedule 3 of the Health and Social Care Act 2008 to ensure necessary employment checks are in place for all newly recruited staff.
The practice should assess their access to emergency medicines.
The practice had established a service for people to pick up their dispensed prescriptions at a different location. The practice should review the arrangements for monitoring how the medicines are collected from this location.
The practice should ensure they complete their planned cycle of clinical re-audit.
Chief Inspector of General Practice