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Inspection Summary

Overall summary & rating


Updated 13 March 2019

We carried out an announced comprehensive inspection at Old Town Surgery on 8 February 2019, as part of our inspection programme. The service was previously inspected on 16 July 2016, and rated Good overall.

Our judgement of the quality of care at this service is based 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.

This means that:

  • Patients had good outcomes because they received effective care and treatment that met their needs.
  • Patients were supported, treated with dignity and respect and were involved as partners in their care.
  • People’s needs were met by the way in which services were organised and delivered.
  • The leadership, governance and culture of the practice promoted the delivery of high quality person-centred care.
  • The practice had a well-engaged and active patient participation group (PPG) who made suggestions for improvements, and met regularly (monthly) with practice staff and other stakeholder organisations such as the local clinical commissioning group (CCG) and Healthwatch. The practice and its PPG organised a twice-yearly series of presentations on health matters that attracted an average audience of 65 attendees. The presentations covered such topics as diabetes education, men's health, and breast cancer awareness. We saw documentary evidence that the events were positively evaluated.

We found areas where the provider should make improvements. The provider should:

  • Continue to identify carers to enable this group of patients to access the care and support they require.
  • Continue efforts to increase the programme coverage of women eligible to be screened for cervical cancer.
  • Continue to engage patients with Chronic Obstructive Pulmonary Disease (COPD) and mental health problems, so that there is lower exception reporting and healthier outcomes for these indicators.
  • Continue to undertake audits for antibiotics, so that patients' use of these items is safely monitored.

Details o

f our findings and the evidence supporting our ratings are set out in the evidence tables.  

Professor Steve Field


Chief Inspector of General Practice

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