We carried out a review of the data available to us about The Bridge Surgery on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about The Bridge Surgery, you can give feedback on this service.
We carried out a focussed inspection at The Bridge Surgery following an Annual Regulatory Review of the practice. During this inspection we looked at safe, effective and well-led. The practice was previously inspected in 2016 and rated good.
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 each of the population groups.
•The practice provided care in a way that kept patients safe and protected them from avoidable harm.
•Patients received effective care and treatment that met their needs.
•Staff dealt with patients with kindness and respect and involved them in decisions about their care.
•The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
•The practice had a focus on learning and improvement.
•The way the practice was led and managed promoted the delivery of high-quality, person-centred care.
However, there were also areas of practice where the provider needs to make improvements.
The provider should:
•Take action so the practice team know who the leads are for specific areas of work such as safeguarding.
•Take action so that minutes of meetings are documented in order to provide a record of discussions.
•Review their procedure for two week wait cancer referral as a coding error was identified.
•Keep an overview of significant events to enable effective trend analysis.
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
We carried out an announced comprehensive inspection at The Bridge Surgery on 7 September 2016. Overall the practice is rated as good.
Our key findings across all of 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. Significant events were investigated and acted on when necessary. However, senior staff were not always circulating clinical significant events to all relevant staff and conducting reviews of them to identify trends or if further action was required.
Risks to patients were assessed and well managed. Safe systems were in place for prescribing medicines. Clinical staff processes ensured that patients received safe and appropriate care and this was clearly documented.
Staffing levels were monitored to ensure they matched patients’ needs. Safe arrangements were in place for staff recruitment that protected patients from risks of harm. The practice manager had been absent from the practice for over 3 months and would not be returning. Senior staff informed us they would make arrangements to commence recruitment for a replacement.
Staff had received training appropriate to their roles and any further training had been identified and planned to enhance their skills and patient care.
Patients told us they were treated with compassion, dignity and respect and they were involved in decisions about their treatment. They said they were satisfied with standards of care they received.
Telephone appointments were available as well as face to face for the same day. Patients spoken with were not aware they could pre-book appointments. At the time of our inspection the practice did not have an active online service for patients to book appointments however; this was put in place one week afterwards.
Information about how to make a complaint was readily available and easy to understand. Complaints were dealt with in a timely way and appropriately.
The practice had good facilities and was well equipped to assess and treat patients.
There was a clear leadership structure and staff told us they felt well supported by senior staff. Management proactively sought feedback from patients which it acted on.
The practice had been working closely with another local practice to promote on-going improvements in patient care. Collaboration working with other local practices was in place with the aim developing ways of meeting future service demands.
However, there was an area of practice where the provider needs to make improvements.
The provider should:
Ensure that significant events are cascaded to all relevant staff, regularly reviewed and where trends are identified determine whether further actions are required to prevent similar events from occurring.
Monitor the recently introduced system for booking online appointments to ensure it is working effectively.
Chief Inspector of General Practice