The Care Quality Commission
  • Doctor
  • GP practice

Church View Surgery

Overall: Good read more about inspection ratings

Denaby Springwell Centre, Denaby Main, Doncaster, DN12 4AB (01709) 863302

Provided and run by:
AMP Healthcare Limited

Important: The provider of this service changed. See old profile

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Church View Surgery on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Church View Surgery, you can give feedback on this service.

24 September 2021

During an inspection looking at part of the service

We carried out an unannounced focused inspection of Church View Surgery (also known as Denaby Medical Practice) on 24 September 2021. The inspection was carried out at Mexborough Medical Practice which is the branch surgery of the provider's other location, Askern Medical Practice.

Previous inspection reports can be found by selecting the ‘all reports’ link for Church View Surgery on our website at www.cqc.org.uk.

Why we carried out this inspection

This inspection was a focused inspection following information of concern about patient safety that was disclosed to the Care Quality Commission (CQC). The information was that a nurse without prescribing qualifications had been prescribing or amending prescriptions for a patient with poor mental health.

We have the power under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 to carry out unannounced inspections. Due to the nature of the concerns that had been raised, and the potential serious impact on patient safety, we decided to carry out an unannounced focused inspection. We only inspected the areas of concern highlighted to us.

As this was a focused inspection no ratings have been given for any of the key questions. The ratings given in the previous rated inspections remain.

How we carried out the inspection

We attended Mexborough Medical Practice. The provider granted us permission to access their clinical computer system. We only accessed what was necessary in order for us to assess the accuracy of the concerns raised. We also spoke briefly to the lead GP and the operations manager.

Our findings

  • We found no evidence of nurses without prescribing qualifications prescribing or amending prescriptions.

Details of our findings and the evidence supporting our decisions are set out in the evidence table.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

25 September 2018

During a routine inspection

This practice is rated as good overall. 

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Church View Surgery on 25 September 2018 as the location registered with the Commission on 1 February 2018.

At this inspection we found:

  • The practice had systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.
  • Not all patients found the appointment system easy to use and reported that they were not able to access care when they needed it. 

The areas where the provider should make improvements are:

  • Review the monthly infection prevention and control audits in line with the annual audit.
  • Review the appointment system for those who would like to make an appointment at the desk in the practice and those who have difficulty travelling to other sites.
  • Review the procedure to request home visits to ensure it includes reference to the emergency care practitioner visiting service criteria.

Professor Steve Field

CBE FRCP FFPH FRCGPChief Inspector of General Practice