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Archived: The Surgery Good

The provider of this service changed - see old profile

The provider of this service changed - see new profile

Inspection Summary

Overall summary & rating


Updated 28 June 2019

We decided to undertake an announced focused inspection of this service on 14 May 2019 following our annual review of the information available to us. This inspection looked at the following key questions: Safe, Effective and Well-led.

At the last inspection in August 2018 we rated the practice as good overall, and requires improvement for providing safe services because:

  • There were shortfalls in the systems for monitoring patients on some high-risk medicines.
  • The system to manage uncollected repeat prescriptions was not effective.
  • There were no records to confirm the action taken in response to safety alerts.
  • Some non-clinical staff were unclear about their responsibilities when acting as chaperones.
  • Reception staff had not been provided with training to assist them in identifying a deteriorating or acutely unwell patient.
  • Improvements were needed in the auditing of infection prevention and control.

At this inspection, we found that the provider had satisfactorily addressed these areas.

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 and good for all population groups.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients received effective care and treatment that met their needs.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

Whilst we found no breaches of regulations, the provider should:

  • Complete the outstanding actions identified in the latest infection prevention and control audit.
  • Improve the monitoring and security of blank prescriptions stored in consulting rooms.

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










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