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We are carrying out a review of quality at Castlegate & Derwent Surgery. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

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

Safe

Good

Updated 6 July 2016

The practice is rated as good for providing safe services.

  • There was an effective system in place for reporting and recording significant events.
  • Lessons were shared to make sure action was taken to improve safety in the practice.
  • When there were unintended or unexpected safety incidents, patients received reasonable support, truthful information, a verbal and written apology. They were told about any actions to improve processes and prevent the same thing happening again.
  • The practice had clearly defined and embedded systems, processes and practices in place to keep patients safe and safeguarded from abuse. For example, there was an effective safety alert system and safeguarding leads were in place.
  • Good infection control arrangements were in place and the practice was clean and hygienic. Disclosure and Barring Service (DBS) checks had been completed for all staff that required them.
  • Risks to patients were assessed and well managed. However, the staff recruitment and induction process did not include the checking of staff immunity status against vaccine-preventable diseases such as measles.

Caring

Good

Updated 6 July 2016

The practice is rated as good for providing caring services.

  • Data showed that patients rated the practice higher than others for several aspects of care. For example, results from the National GP Patient Survey showed that 100% of respondents had confidence and trust in their GP (CCG average 97%, national average 95%).
  • Patients said they were treated with compassion, dignity and respect and they were involved in decisions about their care and treatment.
  • Information for patients about the services offered by the practice was available. For example, they provided this information on the practices’ website, patient leaflet and in the waiting areas.
  • The practice had close links to local and national support organisations and referred patients when appropriate.
Checks on specific services

People with long term conditions

Good

Families, children and young people

Outstanding

Working age people (including those recently retired and students)

Good

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good