The Care Quality Commission
  • Doctor
  • GP practice

New Pond Row Surgery

Overall: Good read more about inspection ratings

New Pond Row, 35 South Street, Lancing, West Sussex, BN15 8AN (01903) 851073

Provided and run by:
New Pond Row Surgery

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about New Pond Row Surgery 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 New Pond Row Surgery, you can give feedback on this service.

17 March 2020

During an annual regulatory review

We reviewed the information available to us about New Pond Row Surgery on 17 March 2020. 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.

17 October 2018

During a routine inspection

This practice is rated as Good overall. (Previous rating August 2016 – Good)

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced inspection at New Pond Row Surgery on 17 October 2018 as part of our planned inspection programme.

At this inspection we found:

  • The practice had systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes. However, record keeping in relation to significant events did not always provide a clear audit trail of lessons learned and shared and action taken to improve safety.
  • 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 patients with compassion, kindness, dignity and respect.
  • Patients found the appointment system easy to use and reported that they could access care when they needed it.
  • The practice had good facilities and was well equipped to treat patients and meet their needs. The premises were clean and hygienic.
  • Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • The practice had won an award from a local mental health charity in recognition of improved services for people with mental health.

The areas where the provider should make improvements are:

  • Provide awareness training for all staff on the ‘red flag’ sepsis symptoms that might be reported by patients and how to respond.
  • Improve the recording and reporting of significant events so that it is clear that the details and lessons learned have been shared with relevant staff and that appropriate action has been taken and followed up.
  • Update the practice’s fire safety policy and ensure all the actions from the latest fire risk assessment are completed.
  • Put arrangements in place to ensure staff feel properly supported in their roles and able to raise issues or concerns in confidence.
  • Look at ways to improve the uptake of cervical screening for eligible patients.
  • Improve quality and outcomes framework performance for chronic lung disease and ensure the world health organisation targets for all childhood immunisations are achieved.
  • Ensure that a patient participation group is re-established so that the practice can engage with a wider group of patients and utilize their feedback and support in improving services.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.

19 August 2015

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of New Pond Row Surgery on 7 January 2015. The practice was found to require improvement for providing safe services.

Following the comprehensive inspection, the practice sent us an action plan detailing what they would do to meet the regulations in relation to the following:

  • Ensure that all recruitment checks are carried out and recorded as part of the staff recruitment process.
  • Ensure risk assessment and monitoring processes effectively identify, assess and manage risks relating to the risk of exposure of staff and patients to legionella bacteria.

Our previous report also highlighted areas where the practice should improve:

  • Ensure all investigation records and responses to complaints are stored centrally to provide a clear audit trail of actions taken.
  • Continue to review and improve access to the practice by phone.
  • Repair the key cupboard within the practice to ensure the security of all areas of the practice.
  • Ensure adequate staffing levels at all times, particularly to ensure reception staff are adequately supported.

We undertook this focused inspection on 19 August 2015 to check that the provider had followed their action plan and to confirm that they now met the regulations. At this inspection we found the practice was good for providing safe services.

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

  • The practice had developed processes to ensure that all necessary recruitment checks were carried out and recorded as part of the recruitment process.
  • The practice had undertaken a comprehensive risk assessment in order to identify, assess and manage risks relating to the potential exposure of staff and patients to legionella bacteria.
  • Complaints were well managed and all records and responses relating to complaints had been stored centrally to ensure a clear audit trail of all actions taken.
  • The practice had installed call management software to monitor patient access to the practice by telephone. Patient access to the practice by telephone had been improved as a result.
  • The practice had carried out and recorded a risk assessment to identify and ensure minimum staffing levels.
  • The practice had replaced the key cupboard to ensure the security of all areas of the practice.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

7 January 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of New Pond Row Surgery on 7 January 2015. We visited the practice location at 35 South Street, Lancing, West Sussex, BN15 8AN. New Pond Row Surgery also operates a branch surgery at 38 Old Shoreham Road, Lancing, West Sussex, BN15 0QT. We did not visit the branch surgery as part of our inspection.

Overall the practice is rated as good. Specifically, we found the practice to be good for providing well-led, effective, caring and responsive services. It required improvement for providing safe services. It was also good for providing services for older people, people with long-term conditions, families, children and young people, working age people (including those recently retired and students), people whose circumstances may make them vulnerable and people experiencing poor mental health (including people with dementia).

The inspection team spoke with staff and patients and reviewed policies and procedures. The practice understood the needs of the local population and engaged effectively with other services. The practice was committed to providing high quality patient care and patients told us they felt the practice was caring and responsive to their needs.

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

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
  • Risks to patients and staff were assessed and well managed, with the exception of those relating to the control of legionella bacteria.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand.
  • The practice recognised the needs of its older population and had systems in place to support patients through care plans, hospital avoidance schemes and providing extra support for those patients who were vulnerable.

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

Importantly, the provider must:

  • Ensure that all recruitment checks are carried out and recorded as part of the staff recruitment process
  • Ensure risk assessment and monitoring processes effectively identify, assess and manage risks relating to the risk of exposure of staff and patients to legionella bacteria.

In addition the provider should:

  • Ensure all investigation records and responses to complaints are stored centrally to provide a clear audit trail of actions taken.
  • Continue to review and improve access to the practice by phone.
  • Repair the key cupboard within the practice to ensure the security of all areas of the practice.
  • Ensure adequate staffing levels at all times, particularly to ensure reception staff are adequately supported.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice