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Inspection Summary

Overall summary & rating


Updated 11 March 2020

We carried out an announced comprehensive inspection at Poole Town Surgery on 23 January 2019. The overall rating for the practice was good. However, the practice was rated requires improvement for providing well-led services. A Requirement Notice was served in relation to a breach of Regulation 17 Good Governance, The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The full comprehensive report for the inspection undertaken on the 23 January 2019 can be found by selecting the ‘all reports’ link for Poole Town Surgery on our website at .

After our inspection on 23 January 2019 the practice wrote to us with an action plan outlining how they would make the necessary improvements to comply with the Requirement Notice.

This inspection was an announced focussed follow-up inspection carried out on 9 January 2020 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 23 January 2019. This report only covers findings in relation to those requirements.

Our judgement of the quality of care at this service is based 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.

This practice remains rated as good overall. The practice is now rated as good for providing well-led services.

At this inspection we found:

• The practice showed that all learning from significant events had been shared with all relevant staff.

• All staff had completed training in safeguarding adults and children to the appropriate level.

• The arrangements for identifying, recording and managing risks were effective. There were effective recruitment checks, fire alarm tests and records of staff vaccination status. There was effective management of prescription security.

• The provider was aware that some Quality and Outcomes Framework (QOF) exception reporting was higher than national averages and had taken steps to address the level of exception reporting.

The areas where the provider should make improvements are:

• Continue to monitor Quality and Outcomes Framework (QOF) exception reporting and continue to implement appropriate measures to reduce this in line with local and national data.

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


Inspection areas










Checks on specific services

People with long term conditions

Requires improvement

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