We carried out a review of the data available to us about Chiddingfold 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 Chiddingfold Surgery, you can give feedback on this service.
We carried out an announced comprehensive inspection at Chiddingfold Surgery on 5 December 2018 as part of our inspection programme.
At the last inspection in November 2017 we rated the practice as requires improvement for providing safe and well-led services because:
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:
We have rated this practice as good overall and good for all population groups except for the care for older people which we found outstanding.
We found that:
We rated the practice as outstanding for providing services to older people because:
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.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
This practice is rated as requires improvement overall. (Previous inspection October 2014, rating – Outstanding)
The key questions are rated as:
Are services safe? – Requires improvement
Are services effective? – Good
Are services caring? – Outstanding
Are services responsive? – Good
Are services well-led? – Requires improvement
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 – Requires improvement
People with long-term conditions – Requires improvement
Families, children and young people – Requires improvement
Working age people (including those retired and students – Requires improvement
People whose circumstances may make them vulnerable – Requires improvement
People experiencing poor mental health (including people with dementia) - Requires improvement
We carried out an announced inspection at Chiddingfold Surgery on 2 November 2017. The inspection was carried out as part of our inspection programme
At this inspection we found:
The practice routinely reviewed the effectiveness and appropriateness of the care it provided. Care and treatment was delivered according to evidence- based guidelines.
The practice had good facilities and was well equipped to treat patients and meet their needs.
Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
The practice had systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes. However, these were not always effective.
Staff were motivated and inspired to offer kind and compassionate care and respected the totality of their needs.
Data from the national GP patient survey published July 2017 showed patients rated the practice higher than others for some aspects of care.
The practice proactively sought feedback from staff and patients, which it acted on.
The patient participation group was also active. The practice implemented suggestions for improvements and made changes to the way it delivered services as a consequence of feedback from patients and from the patient participation group (PPG). For example, the practice provided an after school clinic for children one afternoon a week.
The practice recognised that the patient’s emotional and social needs were as important as their physical needs.
The practice ensured that appropriate patients, those deemed to be at risk or especially frail, received a proactive anticipatory care plan in partnership with the patient and any carer. The practice ensured that all unplanned admissions were contacted within three days of being discharged to review any care required.
One GP delivered an annual sex education talk to a local primary school whilst another GP delivered an annual talk to a local special needs school on how to access their services.
The practice had systems to inform eligible patients to have the meningitis vaccine. To assist in the uptake of this vaccination the practice ran late afternoon/early evening clinics to fit in with students who would be at college throughout the day. The practice used these sessions to also discuss any sexual health needs of the patients.
The practice hosted weekly counselling sessions to enable local access for patients.
The practice was proactive in undertaking clinical audit to improve patient care.
The practice had an effective infection control process in place and acted on issues found during audits.
The practice ensured all recruitment checks were undertaken prior to staff starting employment.
One GP provided training on traveller culture forregistrars completing their education at the practice.
A GP, nurse and some reception staff had undertaken additional training in relation to learning disabilities to enhance the care that this patient group received.
The areas where the provider must make improvements as they are in breach of regulations are:
Safe care and treatment must be provided in a safe way to patients, including the proper and safe management of medicines and acting on all safety alerts.
That systems and processes are established and operated effectively to ensure good governance. Including the documenting of assessing, monitoring and improving the quality of service provided.
The areas where the provider should make improvements are:
The practice should review their complaints process to ensure patients are given information on how they can escalate the complaint if they remain dissatisfied.
The practice should continue their work in improving the delivery of immunisations to children
Chief Inspector of General Practice
Chiddingfold Surgery is located in purpose built premises in a semi-rural location. It provides services to just over 4,500 registered patients. The practice dispenses prescriptions to approximately half of its patients.
We carried out a comprehensive inspection on 7 October 2014. We visited the practice location at Ridgley Road, Chiddingfold, Godalming, Surrey, GU8 4QP. Chiddingfold Surgery also operates a branch surgery at Dunsfold Surgery, 20 Griggs Meadow, Dunsfold, Surrey, GU8 4ND. We did not visit the branch surgery as part of our inspection.
We have rated the practice as outstanding. The inspection team spoke with staff and patients and reviewed policies and procedures implemented throughout the practice. Processes and procedures were in place to ensure the safety of patients and staff. The practice was responsive to the needs of the local population and engaged effectively with other services. There was a culture of openness, transparency, continual learning and improvement within the practice. The practice was committed to providing high quality patient care and provided good support and training to staff to facilitate this.
Our key findings were as follows:
We saw several areas of outstanding practice including:
However, there were also areas of practice where the provider should make improvements.
The provider should:
Chief Inspector of General Practice