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Inspection carried out on 7 November 2017

During an inspection to make sure that the improvements required had been made

Letter from the Chief Inspector of General Practice

This practice is rated as Good overall. (Previous inspection 20 May 2015 – rated as Good)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

The population groups are rated as:

Older People – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

We carried out an announced comprehensive inspection at Dean Cross Surgery on 7 November 2017 as part of our inspection programme.

At this inspection we found:

  • The practice had good systems to manage risk so that safety incidents were less likely to happen. When they did happen, the practice learned from them and improved their processes.
  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
  • Staff involved and treated people with compassion, kindness, dignity and respect.
  • Patients found the appointment system easy to use and reported that they were able to access care at the right time.
  • There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are;

  • The practice should look ways to improve outcomes for patients with diabetes.


Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 20/05/2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced inspection at Dean Cross Surgery on 20 May 2015. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing safe, effective, caring, responsive and well led services. It was also good for providing services for all the population groups: older people, children and young people, people with long term conditions people in vulnerable circumstances and people who are working age or recently retired.

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

  • Outcomes for patients were positive, consistent and met expectations. Patients told us it was easy to get an appointment with their own GP or a GP of their choice, which provided continuity of care. They confirmed they were seen or spoken with on the same day if they had an urgent need. GPs kept individual lists so all patients had a named GP.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment. Information was provided to help patients understand the care available to them.
  • Reliable systems were in place to maintain safety throughout the practice.
  • There was good IT support to enable staff to manage patient records well.
  • Treatment rooms and public areas were clean and there were systems in place to ensure hygienic conditions and equipment.
  • The practice implemented suggestions for improvements and made changes to the way it

delivered services as a consequence of feedback from patients and from the Patient Participation Group (PPG).

  • The practice had good facilities and was well equipped to treat patients and meet their needs. Information about how to complain was available and easy to understand.

However, there were areas of practice where the provider needs to make improvements.

The provider should:

  • Administrative staff should have annual appraisals.
  • Checks should be regularly completed and recorded of when GPs, locums and nurses have completed revalidation of their fitness to practice.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice