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Castlegate & Derwent Surgery Good

Inspection Summary

Overall summary & rating


Updated 19 November 2019

We carried out an inspection of this service following our annual review of the information available to us including information provided by the practice. Our review indicated that there may have been a significant change to the quality of care provided since the last inspection.

This inspection focused on the following key questions:

  • is the practice effective;
  • is it responsive;
  • is it well-led?

Because of the assurance received from our review of information we carried forward the ratings for the following key questions:

  • is the practice safe;
  • is it caring?

Both of these key questions are rated good.

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 except Families, Children and Young People, which we rated outstanding.

We found that:

  • Patients received effective care and treatment that met their needs.
  • 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.

We rated the population group, families, children and young people as outstanding because:

  • The practice had achieved significantly higher than average immunisation rates for a large cohort of children. Childhood immunisation uptake rates were all above the World Health Organisation (WHO) targets.

We saw an area of outstanding practice:

  • We saw multiple examples of good communication between the practice and their patients and the benefits this was having. The practice scored highly for immunisation and screening uptake, for example they rated top in the county for abdominal aortic aneurysm screening, and they felt this was due to being able to communicate well with their patients and encourage them to attend. The practice used multiple approaches, such as frequent newsletters, social media and stalls in the local supermarket, to reach their patients.

However, there were some areas where the practice should make improvements:

  • Include all staff on the training matrix and make sure all mandatory training is completed within the recommended timeframes;
  • Ensure annual appraisals are available to all staff at the practice;
  • Take steps to ensure all staff receive the same level of induction when they begin work at the practice.

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