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Inspection Summary


Overall summary & rating

Good

Updated 24 December 2019

Following our annual regulatory review of the information available to us, we inspected this service on 19 November 2019. The service was last inspected in August 2017. It was rated as good for each of the five key questions and rated good overall. This inspection looked at the following key questions; effective and well led.

Because of the assurance received from our review of information we carried forward the ratings for the following key questions: safe, caring and responsive.

Are services effective? Good

Are services well-led? Good

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good.

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) – 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 all population groups.

We found that:

  • 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.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
  • Governance systems were robust and regularly reviewed.
  • The practice was engaged in local initiatives and worked alongside partners in the local healthcare system.

However, the areas where the practice should make improvement are:

  • Continue to take action to improve uptake for the cervical screening programme to meet the national target of 80%.
  • Continue to take action to improve uptake for the child immunisation programme to meet the national target of 90%.

We found an area of outstanding practice

  • The practice had produced a “virtual tour” of the surgery, which was available over the internet. Patients, such as those with learning disability, dementia or mental health problems who were apprehensive about accessing the surgery were able to take a virtual tour of the surgery from their home. Patients and their carers reported that this helped to allay their apprehension and prepared them for what to expect.

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

Good

Families, children and young 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