The Care Quality Commission
  • Doctor
  • GP practice

Dr Cyril Stephen Also known as Boyatt Wood Surgery

Overall: Good read more about inspection ratings

Boyatt Wood Shopping Centre, Shakespeare Road, Boyatt Wood, Eastleigh, Hampshire, SO50 4QP (023) 8061 2051

Provided and run by:
Dr Cyril Stephen

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Dr Cyril Stephen 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 Dr Cyril Stephen, you can give feedback on this service.

19 May 2021

During an inspection looking at part of the service

We carried out an announced inspection at Dr Cyril Stephen, also known as Boyatt Wood Surgery and visited the practice on 19 May 2021.

Overall, the practice is rated as Good.

The ratings for each key question are as follows:

Safe - Good

Effective - Good

Caring - Good (carried over from the previous inspection)

Responsive - Good (carried over from the previous inspection)

Well-led - Good

Following our previous inspection, published on 1 May 2019, the practice was rated Requires Improvement overall, with requires improvement ratings given for the two key questions Safe and Effective. We issued a requirement notice against Regulation 12 of the Health and Social Care Act Regulations 2014, Safe care and treatment. We judged there to be inconsistent safe management of medicines. The key questions of Caring, Responsive and Well Led were rated Good.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Dr Cyril Stephen on our website at www.cqc.org.uk

Why we carried out this inspection

This inspection was a follow-up inspection, to follow up on the areas identified for improvement in the last inspection, including a breach of regulations and ‘shoulds’ identified in the last inspection. We inspected the three key questions, Safe, Effective and Well Led as part of our new methodology for inspecting services with a requires improvement rating.

How we carried out the inspection

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 inspections differently.

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included:

  • Conducting staff interviews using video conferencing
  • Completing clinical searches on the practice’s patient records system and discussing findings with the provider
  • Reviewing patient records to identify issues and clarify actions taken by the provider
  • Requesting evidence from the provider
  • A short site visit
  • Requesting feedback from the patient participation group (PPG).

Our findings

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 had made changes and improvements in the areas we identified as requiring improvement at our last inspection. These included improvements in the care of the different population groups and the management of medicines
  • 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 practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic. Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centred care.

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

  • Continue to review and optimise prescribing levels for antibiotics, including the duration of the prescription.
  • Document patient discussions in relation to risk factors associated with different medicines.
  • Continue to log the actions taken in response to safety alerts and include the details of specific actions taken and by whom.
  • Develop a more streamlined approach for creating and managing information internally, to support communication and the practice’s development within the wider PCN.
  • Relaunch a quality improvement programme, disrupted by the practice’s COVID-19 response.

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

During a routine inspection

We carried out an announced comprehensive inspection at Dr Cyril Stephen on 27 February 2019 as part of our inspection programme.

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 requires improvement overall. We rated the practice as requires improvement for providing safe and effective services because:

  • Not all systems and processes kept patients safe.
  • The practice did not have appropriate systems in place for the safe management of medicines.
  • Quality data indicated that uptake of health checks for patients with long-term conditions and mental health illness was lower than local and national averages.

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

  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
  • There were systems and processes for learning, continuous improvement and innovation.

We rated the long-term conditions and people experiencing mental health population groups as requires improvement. This was due to shortfalls in quality data.

The areas where the provider must make improvements are:

  • Ensure care and treatment is provided in a safe way to patients

The areas where the provider should make improvements are:

  • Implement all actions as identified in the external fire risk assessment.
  • Ensure all staff have completed infection prevention and control (IPC) training, in accordance to the policy and procedure.
  • Continue to review systems to record action taken following receipt of safety alerts.
  • Continue to promote uptake of health checks for patients with long-term conditions and mental ill health.

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

15 June 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Cyril Stephen, Boyatt Wood Surgery, Boyatt Wood Shopping Centre, Shakespeare Road, Eastleigh, Hampshire, SO50 4QP on 15 June 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear but informal leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the duty of candour.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice