Beyond Leamington Limited

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

We found this practice was providing well-led care in accordance with the relevant regulations and had taken into consideration appropriate guidance.

The provider had made improvements in relation to the regulatory breach we found at our inspection on 26 November 2025.

Find out what we look at when we assess this area in our information about our new Single assessment framework.

The judgement for Shared direction and culture is based on the latest evidence we assessed for the Well-led key question.

The judgement for Capable, compassionate and inclusive leaders is based on the latest evidence we assessed for the Well-led key question.

The judgement for Freedom to speak up is based on the latest evidence we assessed for the Well-led key question.

The judgement for Workforce equality, diversity and inclusion is based on the latest evidence we assessed for the Well-led key question.

Staff were completing checks of fire safety equipment such as the fire alarm, fire doors, fire extinguishers, fire exits and emergency lighting. Logs were kept demonstrating that these weekly and monthly checks were being regularly completed. Records were available to demonstrate that annual fire drills had taken place. Additional fire drills had taken place to ensure that all staff at the practice had been involved in a fire drill at least annually. Action had been taken to address issues identified in the practice fire risk assessment.

Evidence was available to demonstrate that actions had been taken to address issues identified in the latest legionella risk assessment.

Improvements had been made to medicines management. Antibiotic stock was now securely stored and details recorded on medication labels were in line with recommended guidance.

Evidence was sent to demonstrate that all staff had completed basic life support training within the required timeframe.

Systems were now in place to ensure effective oversight of staff Hepatitis B immunity levels; titre levels were available for all relevant staff.

Systems had been put in place to ensure effective checks were being made on medical emergency equipment. Daily and weekly logs were kept which recorded all items of the medical emergency kit as required including expiry dates. Items of medical emergency equipment that was missing at the last inspection had been replaced immediately.

The practice had a contract with a Radiation Protection Advisor and local rules recorded were updated. Action had been taken to address issues identified in the Radiation Protection Advisors action plan.

Improvements had been made to audit systems. The radiography and the infection prevention and control audits were now being completed at the required frequency of every 6 months.

At our inspection of 26 November 2025, we identified that the provider did not have effective oversight of staff training as some recommended training had not been completed. At this inspection, we requested but were not provided with evidence to demonstrate that this recommended training had been completed. The provider should therefore, implement practice protocols and procedures to ensure staff are up to date with their mandatory training and their continuing professional development.

The judgement for Partnerships and communities is based on the latest evidence we assessed for the Well-led key question.

The judgement for Learning, improvement and innovation is based on the latest evidence we assessed for the Well-led key question.