We carried out a review of the data available to us about The Crown 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 Crown Surgery, you can give feedback on this service.
We previously carried out an announced comprehensive inspection at The Crown Surgery in January 2019 as part of our inspection programme. The practice was rated as good overall but requires improvement in well led.
The practice was found in breach of Regulation 17 Good Governance; specifically, there was no oversight of all safety alerts and action taken in response to these. Appropriate action had not been taken in response to the safety alert on blank plug sockets, which required these to be removed. Appropriate action had not been taken in response to the safety alert on blind stops.
There were limited systems and processes that enabled the registered person to evaluate and improve their practice in respect of processing of information obtained throughout the governance process. In particular: there was no suitable mechanism to ensure that all clinical staff were involved in practice meetings or able to give or receive feedback for the purposes of continually evaluating and improving services. The practice did not share the learning from significant event and complaint reviews with the whole staff team. There was limited evidence of a comprehensive programme of quality improvement. The practice had not ensured the competence of staff employed in advanced roles by audit of their clinical decision making.
Following our review of the information available to us, including information provided by the practice, we carried out an announced focused inspection at The Crown Surgery on 14 October 2019. We focused our inspection on the following key questions: safe; effective and well led. Due to the assurance received from our review of information, we carried forward the ratings for the following key questions: caring and responsive.
The practice had reviewed their processes and met all the requirements of the requirement notice for regulation 17 Good Governance. Additionally, the practice had undergone considerable refurbishment, reviewed its infection prevention and control procedures and established effective cleaning schedules and checks. The practice had adjusted its skill mix with an additional salaried GP, two practice nurses and a first contact physiotherapist.
We based our judgement of the quality of care at this service on a combination of:
We have rated this practice as good overall and good for all population groups.
We found that:
Whilst we found no breaches of regulations, the provider should:
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 Drs Carr and Davies, known as the Crown Surgery on 3 January 2019 as part of our inspection programme.
We based our judgement of the quality of care at this service on a combination of:
We have rated this practice as good overall and good for all population groups.
We rated the practice as good for providing safe, effective, caring and responsive services because:
We rated the practice as requires improvement for providing well-led services because:
The areas where the provider must make improvements are:
(Please see the specific details on action required at the end of this report).
The areas where the provider should make improvements are:
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice
We carried out an announced comprehensive inspection at Drs Bland Carr and Davies (also know as The Crown Surgery) on 13 June 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
The areas where the provider should make improvement are:
A system should be in place to review the impact of any action taken in response to significant events.
Repeat prescriptions that are dispensed by the surgery should be signed before medicines are given to patients.
Where the decision has been made not to carry out a DBS check on staff, the practice should be able to give a clear rationale as to why.
Regular fire drills should be performed.
Improve the way in which patients who are carers are identified and recorded.
Complete the outstanding staff training and appraisals and continue to review annually.
Chief Inspector of General Practice