Updated 19 December 2024
Date of Assessment: 23 January 2025 to 29 January 2025. We assessed this practice following concerns raised with CQC. Barnsley Road Surgery delivers services to 2458 patients under a contract held with NHS England. The National General Practice Profile shows 76% of the patient population is white, 9% Asian, 7% black, 4% mixed and 3% other. Information published by the Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the lowest decile (1 of 10). The lower the decile, the more deprived the practice population is relative to others. This assessment considered the demographics of the people using the service and how this impacted service delivery. We found the service had a limited learning culture and incidents had not always been reported. The facilities and equipment met the needs of people, but not all risks were mitigated. There were enough staff, but recruitment checks had not always been completed. There was a lack of evidence staff had the appropriate qualifications and experience. Staff were not always up to date with training and clinical supervision was not provided. Medicines were not appropriately managed and stored safely. Emergency equipment was not regularly checked. Care was based on latest evidence and good practice. People knew how to give feedback, and the service took it seriously and acted on it. The service was accessible although patients gave mixed feedback about contacting the practice. Leaders were visible, knowledgeable and supportive. Staff understood their roles and responsibilities but had limited time to complete tasks and had not always followed procedures. There was limited oversight from the provider of staff, implementation of policies and management of risk. We found breaches of regulation in relation to safe care and treatment and employment of fit and proper persons. We have asked the provider for an action plan in response to the concerns found at this assessment.