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Inspection Summary

Overall summary & rating


Updated 3 December 2018

We carried out an announced comprehensive inspection at Paston Surgery on 15 November 2018 as part of our inspection programme. The practice was previously inspected in June 2016 and rated as good.

Our inspection team was led by a CQC inspector and included a GP specialist advisor and a second CQC inspector.

Our judgement of the quality of care at this service is based 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.

This means that:

  • People were protected from avoidable harm and abuse and that legal requirements were met.
  • The provider had a detailed action plan in place to address shortfalls within the practice, such as an overhaul of the recruitment system and addressing lower than average results from the GP Patient Survey.
  • Patients had good outcomes because they received effective care and treatment that met their needs.
  • The practice was fully engaged with reviewing and monitoring the clinical service they offered and used this information to make changes and drive care. For example, they were reviewing the coding for patients with cancer and recording outcomes for patients on high risk medicines to ensure this was appropriate.
  • Patients were supported, treated with dignity and respect and were involved as partners in their care.
  • People’s needs were met by the way in which services were organised and delivered. For example, the practice was a veteran and dementia friendly practice.
  • The leadership, governance and culture of the practice promoted the delivery of high quality person-centred care.
  • The practice encouraged continuous improvement and innovation. For example, they were supporting a nurse through a masters’ degree. This included time off and mentorship.
  • Staff reported they were happy to work in the practice and proud of the changes that had been made.

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

  • Continue to review and improve the coding of patients with cancer, diagnosed within the preceding 15 months, who have a patient review recorded as occurring within 6 months of the date of diagnosis to improve outcomes for these patients.
  • Embed the new system for the recording of appropriate blood monitoring tests for patients on high risk medicines.
  • Continue to review outcomes from the national GP Patient Survey and implement plans to improve these.

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

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Inspection areas










Checks on specific services

People with long term conditions


Families, children and young people


Older 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