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Inspection Summary

Overall summary & rating


Updated 3 February 2020

We carried out a comprehensive inspection of Broken Cross Surgery on 28 January 2019. We rated the practice Good overall but Requires Improvement for providing safe services because there were breaches of regulations. The breaches were:

  • Regulation 12 Safe Care and Treatment, as some patient group directives (PGDs) for the authorisation of vaccines had not been appropriately signed;
  • Regulation 13 Safeguarding, as some clinicians had not received up to date safeguarding training appropriate to their role.

We also recommended that the practice should:

  • Review key policies to keep up to date with best practice.
  • Update the recruitment process to incorporate an overview of an applicant’s health.
  • Review how the lead for infection control keeps up to date with best practice for infection control and prevention.
  • Carry out regular fire drills.

At this inspection 13 January 2020, we found that the provider had satisfactorily addressed these areas and therefore the practice is now rated as good for providing safe services.

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.

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


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