Updated 30 March 2026
Date of Assessment: 10 June 2026. Ashfield Road Surgery is a GP practice and delivers services to approximately 6200 people under a contract held with NHS England. There is a branch site within Pendeford Health Centre. According to the latest available data, the ethnic make-up of the service area is approximately 72% White, 12% Asian, 8% Black 6% Mixed, and 2% Other. Information published by the Office for Health Improvement and Disparities shows deprivation within the service population group is in the 3rd decile (3 of 10). The lower the decile, the more deprived the service population is relative to others.
This was a focused assessment. We undertook this assessment due to the length of time since our last assessment. We assessed 10 quality statements from across all 5 key questions. 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.
SAFE - Staff maintained clean facilities and ensured equipment was appropriately maintained to help keep people safe. They assessed and managed infection prevention and control risks effectively and took action to reduce the risk of infection spreading. We identified areas for improvement in the documentation of health and safety risk assessments. A documented review and risk assessment of the recently revised recruitment process was required. There were enough staff with the appropriate skills, qualifications and experience to meet the needs of people using the service.
EFFECTIVE - Staff supported people to live healthier lives, monitoring their care and treatment to ensure they received positive and consistent outcomes. The service was aware of the challenges relating to the uptake of immunisations and health screening and were active in an approach to increase the number completed.
CARING - Staff treated people with kindness, empathy and compassion, and respected their privacy and dignity. We observed a caring and supportive service for people.
RESPONSIVE - People could access care, treatment and support when they needed it. Leaders and staff were alert to discrimination and inequality that could disadvantage groups of people who used the service and sought ways to address any barriers. We saw examples of how the service ensured peoples personal choices were considered.
WELL-LED The service had a clear vision and strategy that reflected the needs of the people who used the service and the wider community. Staff understood their individual roles and responsibilities and were able to explain how their work contributed to the service’s aims and objectives. Leaders demonstrated accountability for the actions, behaviours and performance of staff through effective governance and oversight processes, which supported the delivery of safe and effective care.