The Care Quality Commission
  • Doctor
  • GP practice

Grangewood Surgery

Overall: Good read more about inspection ratings

Chester Road, Shiney Row, Houghton Le Spring, Tyne and Wear, DH4 4RB (0191) 385 2898

Provided and run by:
Grangewood Surgery

All Inspections

6 July 2023

During a monthly review of our data

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

10 and 18 October 2022

During an inspection looking at part of the service

We carried out an announced inspection at Grangewood Surgery on 10 and 18 October 2022. Overall, the practice is rated as Good.

The ratings for the key questions are:

Safe - Good

Effective - Good

Caring - not inspected, rating of good carried forward from previous inspection

Responsive - not inspected, rating of good carried forward from previous inspection

Well-led - Good

At our previous inspection of 5 January 2016, the practice was rated good overall and for all of the key questions of safe, effective, caring, responsive and well-led.

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

Why we carried out this inspection

We undertook this inspection as part of a random selection of services rated Good and Outstanding to test the reliability of our new monitoring approach.

How we carried out the inspection/review

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.

This included:

  • Conducting staff interviews using video conferencing.
  • Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
  • Reviewing patient records to identify issues and clarify actions taken by the provider.
  • Requesting evidence from the provider.
  • A short site visit.

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

We found that:

  • Patients were protected by a strong safety system, with a focus on openness and transparency.
  • There were comprehensive systems in place to keep patients safe, which take into account current best practice.
  • There was a proactive approach to anticipating and managing risks. Innovation was encouraged to achieve sustained improvements.
  • Patients received effective care and treatment that met their needs.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • Patients could access care and treatment in a timely way.
  • The leadership governance and culture at the practice were improving the delivery of high-quality, community focused, person-centred care.
  • There were high levels of staff satisfaction. Staff were proud of the organisation and there were high levels of staff engagement. Leaders endeavoured to motivate staff.
  • There was a proactive approach to seeking new ways to provide care and treatment.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services

5 January 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Grangewood Surgery on 5 January 2016. Overall the practice is rated as good.

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

  • Staff understood and fulfilled their responsibilities to raise concerns, and report incidents and near misses.
  • Risks to patients were assessed and well managed.
  • Outcomes for patients who use services were good.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance.
  • Staff were consistent and proactive in supporting patients to live healthier lives through a targeted approach to health promotion. Information was provided to patients to help them understand the care and treatment available
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • The practice had a system in place for handling complaints and concerns and responded quickly to any complaints.
  • Patients said they were able to get an appointment with a GP when they needed one, 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 leadership structure in place and staff felt supported by management. The practice sought feedback from staff and patients, which they acted on.
  • Staff throughout the practice worked well together as a team.

We saw an area of outstanding practice which was:

  • The practice carried out a high rate of clinical audit which were clearly linked to the improvement of patient outcomes.

The areas where the provider should make improvements are:

  • Consider a log of dates when the curtains around the treatment couches are taken down and cleaned to ensure that best practice is followed and they are cleaned every six months.

  • Follow their own recruitment policy when going through the process of recruiting staff and ensure that records of this process and the vetting of staff are maintained.

  • Consider an overall schedule of training so that the practice can ensure that each member of staff had received the correct training for their role and refresher training when appropriate.

  • Consider introducing a practice specific information leaflet for patients wishing to make a complaint which explains the process of taking the complaint further such as to NHS England or The Parliamentary and Health Service Ombudsman.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice