The Care Quality Commission
  • Doctor
  • GP practice

Limbrick Wood Surgery

Overall: Good read more about inspection ratings

Tile Hill Primary Care Centre, Jardine Crescent, Coventry, CV4 9PN (024) 7541 0180

Provided and run by:
Limbrick Wood Surgery

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 Limbrick Wood 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 Limbrick Wood Surgery, you can give feedback on this service.

1 December 2023

During an inspection looking at part of the service

We carried out an announced assessment of Limbrick Wood Surgery on Friday 1 December 2023.

This was a targeted review of responsive services. The practice was previously inspected in December 2019 and had previously been rated good overall and good in safe, effective, caring, responsive and well led. Any previous ratings for the overall rating, safe, effective, caring and well-led will be unchanged following this review.

Rating at this assessment:

Responsive – Good.

How we carried out the assessment

This assessment was carried out virtually, through an online meeting and review of documents.

This was with consent from the provider and in line with all data protection and information governance requirements.

This included:

  • Requesting evidence from the provider.
  • A virtual meeting with the provider.

Our findings

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we carried out the assessment,
  • 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 for responsive services.

We found that:

  • Patients could access care and treatment in a timely way.
  • The practice had a new phone system and was monitoring capacity and demand.
  • The practice had access via online forms.
  • There was clinical triage of patient requests for appointments and ongoing treatment in place which was being monitored.

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 Healthcare

06 Dec

During a routine inspection

We previously carried out an announced comprehensive inspection at Limbrick Wood Surgery on 26 July 2016 where it was previously known as Dr Surjit Dhillon. Following this inspection, we rated the practice as good overall. The practice was rated outstanding for providing caring services, and rated good for all other key questions. The practice was rated outstanding for the care of people whose circumstances who may make them vulnerable, and rated good for all other population groups.

We carried out an inspection of Limbrick Wood Surgery on 6 December 2019 due to the length of time since the last inspection.

Following our review of the information available to us, including information provided by the practice, we focused our inspection on the following key questions:

  • Safe
  • Effective
  • Caring
  • Responsive
  • Well-led.

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. We have rated the practice as good for all key questions and all population groups.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • The practice reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence-based guidelines and best practice.
  • There were comprehensive policies and procedures to support best practice, and these were regularly reviewed and updated.
  • There was an open and transparent approach to safety and a system in place for recording, reporting and learning from significant events. The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
  • There were clearly defined and embedded systems, processes and practices in place to keep people safe and safeguarded from abuse, and for identifying and mitigating risks to health and safety.
  • Staff demonstrated a high level of care, kindness and respect in dealing with patients.
  • Staff involved patients 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 practice had a focus on learning and improvement.
  • There were clear responsibilities, roles and systems of accountability to support effective governance.
  • 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.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care