20 April 2023
During a routine inspection
We carried out an announced, comprehensive inspection at Bath Road Surgery from 18-20 April 2023. Overall, the practice is rated as Good.
Safe - Good
Effective - Good
Caring - Good
Responsive - Good
Well-led - Good
Why we carried out this inspection
The practice partnership was newly registered in December 2021. This inspection was the first inspection following the change in registration. At this inspection, we covered all key questions:
- Are services safe?
- Are services effective?
- Are services caring?
- Are services responsive?
- Are services well-led?
How we carried out the inspection
This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.
This included:
- Conducting partner, managerial and staff interviews using video conferencing.
- Completing a standardised set of clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
- Reviewing patient records to identify issues and clarify actions taken by the provider.
- Requesting documentary evidence from the provider.
- A short site visit.
Our findings
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 found that:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- Patients received effective care and treatment that met their needs.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- Patients could access care and treatment in a timely way.
- The way the practice was led promoted the delivery of high-quality, person-centre care.
Whilst we found no breaches of regulations, the provider should:
- Implement an anonymous system for staff to raise to concerns to ensure the process of reviewing staff feedback is comprehensive.
- Take further action to improve the cervical screening uptake rate to meet the national target.
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