• Doctor
  • GP practice

City Walls and Saughall Medical Centres Also known as City Walls Medical Centre

Overall: Good read more about inspection ratings

St Martins Way, Chester, Cheshire, CH1 2NR (01244) 357800

Provided and run by:
City Walls and Saughall Medical Centres

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about City Walls and Saughall Medical Centres 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 City Walls and Saughall Medical Centres, you can give feedback on this service.

5 September 2019

During an annual regulatory review

We reviewed the information available to us about City Walls and Saughall Medical Centres on 5 September 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

12 July 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of City Walls and Saughall Medical Centres on 19 April 2016. The overall rating for the practice was good, however the practice was rated as requires improvement for providing safe services. We carried out a desk-based review on 01 February 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 19 April 2016. The practice had met the legal requirements and continued to be rated as good, however we identified a further safety issue that needed to be addressed. The full comprehensive report on the April 2016 inspection and the desk based review in February 2017 can be found by selecting the ‘all reports’ link for City Walls and Saughall Medical Centres on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 12 July 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulations that we identified in our previous inspection on 1 February 2017. This report covers our findings in relation to those requirements.

Overall the practice is rated as Good.

Our key findings were as follows:

  •  An up to date fire risk assessment had been put in place for both the main and the branch practices.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

1 February 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of City Walls and Saughall Medical Centres on 19 April 2016. The overall rating for the practice was Good. The full comprehensive report on the April 2016 inspection can be found by selecting the ‘all reports’ link for City Walls and Saughall Medical Centres on our website at www.cqc.org.uk.

This inspection was a desk-based review carried out on 01 February 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 19 April 2016. This report covers our findings in relation to those requirements, additional improvements made since our last inspection and further improvements that need or should be made.

Overall the practice is rated as Good.

Our key findings were as follows:

  • Action had been taken to improve the recording of significant events.

The following improvements to the service had also been made:

• A schedule of audits had been put in place.

We identified areas of practice where the provider must make improvements:

  • An up to date fire risk assessment must be in place for both the main and the branch practices. 

We identified that the following improvements should be made:

  • Records of significant events should detail what has been learned from them.

At our previous inspection we identified that the service should have a system to ensure all health and safety checks and reviews are carried out at the recommended frequencies. At this visit we found that fire risk assessments had not been updated. Consequently, the practice is still rated as requires improvement for providing safe services. A date to undertake this  assessment had been scheduled.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

19th April 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at City Walls and Saughall Medical Centres on 19th April 2016.

Overall the practice is rated as good.

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

  • There were systems in place to reduce risks to patient safety, for example, infection control procedures, medication management and the management of staffing levels. Improvements were needed to ensure health and safety checks and reviews were carried out at the recommended frequencies. Significant events were not adequately recorded showing the event, investigation and any action to be carried out.
  • Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. Staff were aware of procedures for safeguarding patients from the risk of abuse.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance.
  • Staff felt well supported. They had access to training and development opportunities and had received training appropriate to their roles.
  • Patients were generally positive about the care and treatment they received from the practice. The National Patient Survey January 2016 showed that patients’ responses about whether they were treated with respect, compassion and involved in decisions about their care and treatment were similar to local and national averages.
  • Services were planned and delivered to take into account the needs of different patient groups.
  • The National Patient Survey January 2016 indicated that patient satisfaction with several areas relating to access was below or significantly below local and national averages. The practice was aware of this patient feedback and had taken action to address some of the issues identified and were monitoring patient access to ensure it met their needs. The main issue was difficulty getting through to the practice by telephone. There was a plan to replace to telephone system this year.

  • Information about how to complain was available. There was a system in place to manage complaints.
  • There were systems in place to monitor and improve quality and identify risk. Improvements were needed to the planning of clinical audits.

There were areas of practice where the provider must make improvements are:

  • Maintain a record of each internal significant event that details the event, investigation process and action taken. Document reviews of significant events to demonstrate that action identified has been taken.

The areas where the provider should make improvements are:

  • The practice should ensure there is a system in place to ensure all health and safety checks and reviews are carried out at the recommended frequencies.

  • A planned schedule of audits, incorporating two audit cycles should be put in place.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice