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Uxendon Crescent Surgery Good

Inspection Summary


Overall summary & rating

Good

Updated 23 April 2019

We carried out an announced comprehensive inspection at the location on 12 April 2018 when the overall rating for the practice was Good with Requires Improvement for providing well-led services because the provider was failing to ensure systems and processes were operated effectively to improve the quality and safety of services. In particular:

  • The provider had failed to address risk assessment outcomes in a timely manner.
  • The provider had failed to ensure patient risk registers were up-to-date.
  • There was no written business plan and strategy in line with health and social priorities to meet the needs of its practice population.

The full comprehensive report on the 12 April 2018 inspection can be found by selecting the ‘all reports’ link for Uxendon Crescent Surgery on our website at www.cqc.org.uk.

This inspection, on 28 March 2019, was an announced comprehensive inspection to confirm that the practice had carried out their plan to meet the requirements that we identified in our previous inspection on 12 April 2018. At this inspection, we found that the provider had satisfactorily addressed these areas.

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 been proactive and addressed all the findings of our previous inspection.
  • 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 way the practice was led and managed promoted the delivery of high-quality, person-centre care.

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

  • Continue to work towards all staff attaining safeguarding children training to a level recommended in updated guidance.
  • Consider providing enhanced infection prevention and control training for the lead to support them in the role.

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

Good

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