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Review carried out on 4 November 2021

During a monthly review of our data

We carried out a review of the data available to us about Ashcroft Surgery on 4 November 2021. 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 Ashcroft Surgery, you can give feedback on this service.

Inspection carried out on 10 January 2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We undertook this focused inspection of Ashcroft Surgery on 10 January 2017 for one area within the key question safe.

We found the practice to be good in providing safe services. Overall, the practice is rated as good.

The practice was previously inspected on 6 and 11 August 2015. The inspection was a comprehensive inspection under the Health and Social Care Act 2008. At that inspection, the practice was rated good overall. However, within the key question safe, overview of safety systems and processes was identified as requires improvement, as the practice was not meeting the legislation at that time; Regulation 15 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014: Premises and equipment.

  • The registered person did not ensure all aspects of the practice were cleaned at appropriate intervals, and that the cleaning schedule reflected the needs of the practice.

On this inspection we reviewed a range of documents and inspected the premises which demonstrated they were now meeting the requirements of Regulation 15 Health & Social Care Act 2008 (Regulated Activities) Regulations 2014: Premises and equipment.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 06/08/2015 and 11/08/2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Ashcroft Surgery 6 August 2015 and 11 August 2015. Overall the practice is rated as good.

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 were assessed and well managed.
  • 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.
  • Patients said they sometimes found it difficult to access appointments but an on the day triage service was available.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • Patients could access smoking cessation services at the practice and dietary advice was available. Patients could also see a community drugs worker or community psychiatric nurse at the practice.

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

Importantly the provider must:

  • The provider must ensure all aspects of the practice are cleaned at appropriate intervals, and the cleaning schedule should reflect the needs of the practice.

The provider also should:

  • The provider should make sure that all members of staff who undertake chaperone duties understand their role.
  • The provider should have a safeguarding adults policy in place that is practice-specific.
  • The provider should put in place a process so all fire checks are carried out at the appropriate intervals.
  • The provider should collect all the required recruitment information in respect of new employees.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 8 August 2013

During a routine inspection

We spoke with people who used the service. They told us they were happy with the service they received. One person told us: �I think what they�re doing is very good. They�re absolutely wonderful.�

The practice had single consultation rooms and offered a chaperone service to promote people�s privacy and dignity. The practice regularly used interpreter services for people who did not speak English. Staff showed an awareness of the cultural and religious values and beliefs of people using the service and how this may affect the care and support they require.

People told us they felt that staff listened to their concerns and involved them in decisions about their treatment: �They listen to you, they�re not dismissive. They always look back over your medical history as well� and �I must say they explain everything, every option possible.�

The practice maintained detailed consultation notes in order to ensure people received appropriate care and treatment that met their needs.

The practice followed local authority procedures for safeguarding vulnerable adults and child protection. Staff were able to identify the possible signs that abuse may be occurring.

Significant events were reviewed and investigated to avoid recurrence. The practice participated in quality and outcomes systems in order to monitor and assess the quality of the service they provided.

Appropriate pre-employment checks were carried out for new staff.