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Inspection Summary

Overall summary & rating


Updated 23 August 2019

We carried out a focused inspection at Malthouse Surgery on 16 July 2019.

At our previous inspection in September 2018 we found the practice had breached a regulation relating to management of risk. Because of the assurance received from our review of information we carried forward the ratings for the following key questions: Was the practice providing safe, effective, caring and responsive services. We therefore focused this inspection on whether the practice had improved risk management to ensure provision of well-led services.

Overall the practice is rated good with a good rating for providing safe, effective, caring, responsive and well-led services. All population groups are also rated good.

Our inspection found that:

  • The practice systems were operated consistently to identify, assess and manage risk.
  • The practice strategy was monitored and adjusted when challenges or opportunities were identified.
  • Staff received support, learning and development and were involved in the management of the practice.
  • The culture of the practice and the way it was led and managed drove the delivery and improvement of high-quality, person-centred care.

Whilst we found no breaches of regulations, the provider should:

  • Review the benefits of forming a patient participation group that meets with practice leaders to share feedback about the services provided.

Details of our findings and the evidence supporting the change in rating are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Inspection areas
Checks on specific services

People with long term conditions


Families, children and young 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