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Inspection Summary

Overall summary & rating


Updated 27 November 2019

We previously carried out an announced comprehensive inspection at Rosedale Surgery on 16 October 2018. The practice was rated as good overall and good for providing safe, caring, responsive and well led services. It was rated requires improvement for providing effective services and for providing effective services for the population groups; people with long term conditions and people experiencing poor mental health (including people with dementia). As a result of the findings on the day of the inspection, the practice was issued with a requirement notice for Regulation 9 (person centered care).

We carried out an announced focused inspection at Rosedale Surgery on 6 November 2019. This inspection was to follow up on the breaches of regulation identified at the previous inspection.

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.

The practice is rated as good overall, and good for providing effective services, good for the population groups of people with long term conditions and people experiencing poor mental health (including people with dementia)

We found that:

  • Improvements had been made to ensure patients received appropriate follow up in a timely manner and the number of patients with mental health needs who were excepted from the Quality Outcomes Framework (QOF) had been reduced.
  • Additional staffing resources were available, and improvements had been made to the recall systems and process to ensure patients were encouraged to attend their appointments.

In additional we followed up on areas where the practice should make improvements which were identified in our previous inspection.

We found that;

  • The practice had implemented systems and process for identifying risks in relation to fire and premises safety.
  • There was a system to ensure prescription stationery was monitored safely and effectively. Improve the tracking in and out of prescription paper.
  • The practice had ensured that patients with a learning disability had received appropriate monitoring and review.

Area where the provider should make improvements;

Continue to review and monitor the systems and processes including exception reporting in place to ensure patients receive appropriate follow up in a timely manner.

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










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