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Review carried out on 26 February 2020

During an annual regulatory review

We reviewed the information available to us about Stafford Medical Group on 26 February 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.

Inspection carried out on 8th, 9th November 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

This practice is rated as Good overall.

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

As part of our inspection process, we also look at the quality of care for specific population groups. 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 Stafford Medical Group on 8th and 9th November 2017 as part of our inspection programme.

At this inspection we found:

  • The practice had clear 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.

  • 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 were able to access care when they needed it.

  • There was a strong focus on continuous learning and improvement at all levels of the organisation.

  • They were knowledgeable about issues and priorities relating to the quality and future of services. They understood the challenges and were addressing them. For example, they had developed a plan to move the service forward which included reviewing facilities and succession planning for the leadership and clinical provision at the practice.

The areas where the provider should make improvements are:

  • Continue with a programme of identifying and supporting carers.

  • The provider should continue to keep under review the facilities and environment at Stafford Place to ensure that they are safe and fit for purpose, and to meet the needs of the patients who use it.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 16 September 2015

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We last carried out a comprehensive inspection of Stafford Medical Group on 4 February 2015. At that inspection the practice was found to be requiring improvement within the responsive domain. . This focused inspection undertaken on 16 September 2015 was specifically to follow up on the findings from our last inspection in February 2015. This report should be read in conjunction with our previous inspection report undertaken on 4 February 2015; this report was published on 23 July 2015.

Since our last inspection action had been taken by the provider to improve the service for patients and we found the practice was now meeting the regulation for dignity and respect with the overall rating for the responsive domain being good. We found the quality of care in the six population groups remained the same as the previous inspection where we rated them good.

Our key findings were as follows:

  • There were arrangements in place to reduce the time patients waited to be seen for their appointments.
  • The practice reviewed and identified improvements following national patient survey results to improve patient care.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 4 February 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Stafford Medical Group including Locking Castle Medical Centre and Stafford Place Surgery on Wednesday 4 February 2015. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing safe, caring, well-led and effective services. They required improvement for providing responsive services. We found all of the population groups were 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. Although the practice had not risk assessed the necessity of having paediatric pulse oximeters available.
  • 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 spoken with on the day of the inspection and through comment cards received said they were treated with compassion, dignity and respect. Although in comparison results from national GP survey were lower than average for GPs treating them with care and concern. However, the practice survey from 2013/2014 showed high satisfaction in these areas.
  • Information about services and how to complain was available and easy to understand. However, this information was not included on the practice website.
  • There was mixed views from patients about the appointment system; some patients did not like the telephone triage, whilst others did. We found patients had to wait long periods to be seen for their routine appointments and the practice could take action to improve this. Urgent appointments were available the same day either by telephone consultation or face to face if necessary.
  • 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 from patient reference group surveys. However, the results from national patient survey results were not always acted upon or addressed.

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

Importantly the provider must;

  • Must review its protocol to ensure patients are not unnecessarily delayed when waiting for their appointments

The provider should improve on the following areas:

  • Regularly review GP patient survey results and include this when making decisions about improving patients care.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice