- GP practice
Friary House Surgery
Assessment report published 30 October 2025
Contents
Ratings
Our view of the service
Date of Assessment 8 July to 21 July 2025.
Friary House Surgery is a GP practice and delivers a range of primary medical services to approximately 13,000 patients under a General Medical Services contract held with NHS England.
The National General Practice Profiles states that demographics are at moderate level of disadvantage. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the 3rd decile (3 of 10). The lower the decile, the more deprived the practice population is relative to others. This assessment considered the demographics of the people using the service, the local context and how this impacted the service delivery. We assessed all quality statements across safe, effective, caring, responsive and well-led key questions. We carried out the assessment in response to concerns received and the length of time since the last inspection.
At this inspection, we found the service did not have fully effective and embedded processes to mitigate health and safety risks, including fire safety. Although the service had oversight of risks, systems and processes were not always effective to address shortfalls in performance.
Leaders were not always compassionate and inclusive, staff told us they did not always feel supported and valued. This created some tension and anxiety within the staff team.
We have identified 2 breaches of the legal regulations in relation to good governance and notice of changes. We have asked the provider for an action plan in response to the concerns found at this inspection.
However, we found there were effective systems and processes to manage medicines, including ongoing monitoring requirements for patients prescribed high risk medicines which were in line with national guidance. There were adequate recall systems and processes to ensure patients with long-term conditions were managed effectively.
People's experience of this service
Results from the National GP Patient Survey in 2024, showed the service scored below local and national averages for patients responding positively to how easy it was to contact their GP practice on the telephone, 21.3% (the expected average is 49.7%).
We asked the service to share a link with people so they could share their feedback with CQC, and we received 86 responses. Of which, 38 of these responses were positive about the care and treatment they had received and 48 were negative in regard to accessing the service and being able to get an appointment.
At the time of our assessment the practice did not have a working Patient Participation Group.