Updated 4 April 2025
Date of Assessment: 20 May 2025 to 22 May 2025. Harraton Surgery is a GP practice and delivers service to approximately 3,626 patients under a contract held with NHS England. The practice operates across 2 sites: Harraton Surgery and Springwell House Surgery. The National General Practice Profiles states that 25.2% of patients are classified as older people, compared to the England average of 17.9%, indicating an older patient demographic. Information published by Office for Health Improvement and Disparities showed that deprivation within the practice population group is in the fourth decile (4 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.
This was a responsive assessment carried out as a follow-up to the previous assessment conducted in June 2024, when the service was rated Requires Improvement overall and in the key questions of Safe, Effective, and Well-Led. At that time, a breach of Regulation 17 (Good Governance) was identified.
The service had a good learning culture and people could raise concerns. Managers investigated incidents thoroughly. People were protected and kept safe. Staff understood and managed risks. The facilities and equipment met the needs of people, were clean and well-maintained. Managers made sure staff received training and regular appraisals to maintain high-quality care. However, improvement was needed in the oversight of mandatory training for locum staff and in ensuring vaccination records were in place for both clinical and non-clinical staff.
Staff considered individuals’ communication, personal, and health needs, collaborating with other agencies for smooth transitions and better outcomes. They ensured people understood their care to give informed consent and involved key individuals in best-interest decisions when needed.
Some governance processes required improvement, particularly in relation to effective record keeping and systems to mitigate risks. However, leaders were supportive and engaged, fostering staff development and promoting a culture of continuous improvement.
We found 1 breach of regulation in relation to good governance. We asked the provider for an action plan in response to the concerns found at this assessment.