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Inspection Summary


Overall summary & rating

Good

Updated 25 June 2021

We carried out an announced inspection at Old Road West Surgery on 8 January 2020. The overall rating for the practice was Good, but the Caring domain was rated as Requires Improvement.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Old Road West Surgery on our website at www.cqc.org.uk.

Why we carried out this review

This was a review of information without undertaking a site visit inspection to follow up on the areas that were identified as needing improvement in our previous inspection.

How we carried out the review

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our reviews differently.

This included:

  • Conducting staff interviews using video conferencing.
  • Requesting evidence from the provider.

Our judgement of the quality of care at this service is based 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.

This practice remains as Good overall.

The key question at this review is rated as:

Are services at this location caring? – Good

We rated the practice as good for providing caring services because:

  • The provider had taken action to improve patient responses to the national GP survey results where they were below local and national averages. However, ongoing monitoring and some further action were required.

At this review we also found:

  • All staff were now up to date with their vulnerable adult safeguarding training.
  • The provider had taken action to improve the identification of carers. There were now 157 patients identified as carers which represents 1.7% of the practice’s registered patient population.
  • Records showed that incoming correspondence and test results were being processed in a timely manner in line with the provider’s document management protocol document dated October 2020.

The areas where the provider should make improvements are:

  • Continue to monitor national GP patient survey results and take action to improve patient satisfaction where results are below local and national averages.

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

Safe

Good

Effective

Good

Caring

Good

Responsive

Good

Well-led

Good
Checks on specific services

People with long term conditions

Good

Families, children and young people

Good

Older people

Good

Working age people (including those recently retired and students)

Good

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good