Updated 2 September 2025
Date of Assessment: 5 December 2025 to 11 December 2025.
Hodford Road Surgery is a GP practice and delivers service to 4,713 patients under a contract held with NHS England. The practice is registered with the CQC to provide the regulated activities of diagnostic and screening procedures, maternity and midwifery services, surgical procedures and treatment of disease, disorder or injury. The National General Practice Profiles states that the practice ethnicity estimate is 60.96% White, 16.8% Asian, 11.84% Other ethnic groups, 5.66% Black and 4.74% Mixed. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the 7th decile (1 of 10). The lower the decile, the more deprived the practice population is relative to others. This assessment considered the demographics of the people using the service, the context the service was working within and how this impacted service delivery. Where relevant, further commentary is provided in the quality statements section of this report.
The service had a good learning culture and people could raise concerns. Managers investigated incidents thoroughly. People were protected and kept safe and staff understood and managed risks. The facilities met the needs of people, were clean and well-maintained, however, equipment was not always maintained appropriately. There were enough staff with the right skills, qualifications and experience. Managers did not always make sure staff received appraisals and maintained completed staff files including references. Staff managed medicines well and involved people in planning any changes.
People were involved in assessments of their needs and care was based on latest evidence and good practice. Staff worked with all agencies involved in people’s care for the best outcomes and smooth transitions when moving services. Staff made sure people understood their care and treatment to enable them to give informed consent. Staff involved those important to people took decisions in people’s best interests where they did not have capacity.
People were treated with kindness and compassion. Staff protected their privacy and dignity. They treated them as individuals and supported their preferences. People had choice in their care and treatment. The service supported staff wellbeing. Staff would also routinely use consultations, repeat prescription reviews and results discussions to promote and book appointments.
People were involved in decisions about their care. The service provided information people could understand. People knew how to give feedback and were confident the service took it seriously and acted on it. However, we saw that complaints were not always managed in line with the practice’s complaint policy. The service was easy to access and worked to eliminate discrimination. People received fair and equal care and treatment. The service worked to reduce health and care inequalities through training and feedback. People were involved in planning their care and understood options around choosing to withdraw or not receive care.
Leaders were visible, knowledgeable and supportive, helping staff develop in their roles. Staff felt supported to give feedback and were treated equally, free from bullying or harassment. Staff understood their roles and responsibilities. However, leaders did not always maintain effective governance processes as we found that the practice had not consistently completed appraisals and supervision for staff. The practice worked with people to deliver the best possible care and were receptive to new ideas. There was a culture of continuous improvement with staff given time and resources to try new ideas.