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Sutherland Lodge Surgery Good

Inspection Summary

Overall summary & rating


Updated 2 December 2019

We carried out an announced comprehensive inspection at Sutherland Lodge Surgery on 7 October 2019 as part of our inspection programme.

At this inspection, we followed up on breaches of regulations identified at a previous inspection on 13 November 2018, when we rated the practice as requires improvement overall. Specifically we rated safe, effective and well-led as requires improvement with caring and responsive rated as good.

Prior to the inspection of November 2018, we inspected the practice in December 2017 and rated the practice as inadequate overall. They were placed in special measures for a period of six months.

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 rated the practice as requires improvement for providing caring services because:

  • Data from the national GP patient survey reflected that patient satisfaction was below local and national averages for some of the areas measured.

We rated the practice as good for providing safe, effective, responsive and well-led services because:

  • The practice had clear systems and processes to keep patients safe.
  • The practice had appropriate systems in place for the safe management of medicines.
  • The practice learnt and made improvements when things went wrong.

  • Staff had the skills, knowledge and experience to carry out their roles.
  • Unverified performance data showed that the practice performance in the year 2018-2019 had improved from the year 2017-2018.
  • The practice had clear and effective processes for managing risks, issues and performance.
  • Staff dealt with patients with kindness and respect.
  • The practice acted upon appropriate and accurate information.

  • Leaders showed that they had the capacity and skills to deliver high quality, sustainable care.
  • The practice culture supported high quality sustainable care.
  • We saw evidence of systems and processes for learning, continuous improvement and innovation.

The areas where the provider should make improvements are:

  • Review the national GP patient survey data and take steps to improve patient satisfaction, as highlighted by data in the caring domain.
  • Review performance around inadequate cervical screening results and consider how to improve uptake of this screening.
  • Continue to monitor and review the level of antibacterial prescribing.
  • Review the way that informal complaints are categorised and managed to ensure that they receive the same attention as formal complaints.
  • Continue to improve patient satisfaction with telephone access to the practice.

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

Inspection areas






Requires improvement




Checks on specific services

People with long term conditions


Families, children and young people


Older people


Working age people (including those recently retired and students)


People experiencing poor mental health (including people with dementia)


People whose circumstances may make them vulnerable