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Inspection Summary


Overall summary & rating

Good

Updated 12 February 2020

We carried out an announced comprehensive inspection at Mortimer Surgery in November 2018 where we rated the practice as requires improvement for providing safe and well-led services and good for providing effective, caring and responsive services. They were rated as requires improvement overall. We undertook this inspection on 3 December 2019 to check the appropriate improvements had been made.

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We have rated this practice as good overall and good for all population groups.

We found that:

  • The practice had taken appropriate action and responded to the concerns we identified during our previous inspection of the previous provider.
  • The practice had improved the governance arrangements.
  • The practice provided effective care and treatment.
  • Patient feedback was positive about staff. We received 27 CQC comments cards, with 27 of the comments being positive overall.
  • The practice was responsive to individual patients’ needs.

Whilst we found no breaches of regulations the practice should:

  • Review the arrangements for the monitoring of staff compliance with standard operating procedures.

Details of our findings and the evidence supporting our ratings 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

Safe

Good

Effective

Good

Caring

Good

Responsive

Good

Well-led

Good
Checks on specific services

People with long term conditions

Requires improvement

Families, children and young people

Good

Older people

Good

Working age people (including those recently retired and students)

Good

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good