• Doctor
  • GP practice

Drs Shergill, Fisher, Buck & Cooney Also known as Garden Lane Medical Centre

Overall: Good read more about inspection ratings

19 Garden Lane, Chester, Cheshire, CH1 4EN (01244) 346677

Provided and run by:
Drs Shergill, Fisher, Buck & Cooney

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Drs Shergill, Fisher, Buck & Cooney 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 Drs Shergill, Fisher, Buck & Cooney, you can give feedback on this service.

18 October 2019

During an annual regulatory review

We reviewed the information available to us about Drs Shergill, Fisher, Buck & Cooney on 18 October 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

25 July 2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of Drs Meachim, Bushell, Nicholson & Shergill on 14 June 2016. The overall rating for the practice was good. However, the practice was rated as requires improvement for providing safe services. The full comprehensive report for the 14 June 2016 inspection can be found by selecting the ‘all reports’ link for Drs Meachim, Bushell, Nicholson & Shergill on our website at www.cqc.org.uk.

This inspection was an announced focused review carried out on 25 July 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in regulation that we identified at our previous inspection on 14 June 2016. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is rated as good.

Our key findings were as follows:

  • The provider had taken action to improve staff recruitment records to confirm the suitability of staff employed.

The following improvements to the service had also been made:

  • A system had been introduced to document reviews of significant events to demonstrate that actions identified had been implemented.

  • Further information on the role and remit of the nurse clinician had been made available so patients could make an informed choice when making appointments.

  • The system for identifying staff training requirements had been reviewed.

  • Staff had received training updates in adult and child safeguarding.

  • The system for the investigation of complaints had been reviewed to ensure that all complaints were fully addressed and the records demonstrated how the complaint was investigated, learning outcomes and action taken.

The areas where the provider should make improvements are:

  • Where there is ongoing action being taken to address a complaint this should be fully documented to demonstrate that this is taking place.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

14th June 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Drs Meachim, Bushell, Nicholson & Shergill on 14th June 2016.

Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

  • There were systems in place to reduce risks to patient safety, for example, infection control procedures, medicines management and the management of staffing levels. Improvements were needed to the records of recruitment to demonstrate the suitability of staff employed.
  • Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. Staff were aware of procedures for safeguarding patients from the risk of abuse. Improvements should be made to the systems for ensuring all staff have appropriate safeguarding training and to recording reviews of actions taken following significant events.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance.
  • Staff felt well supported. A system was in place to ensure all staff had an annual appraisal. The records of all staff training needed to be improved to assist in monitoring and planning for the training needs of staff.
  • Patients were positive about the care and treatment they received from the practice. The National Patient Survey January 2016 showed that patients’ responses about whether they were treated with respect, compassion and involved in decisions about their care and treatment were generally similar to local and national averages.
  • Services were planned and delivered to take into account the needs of different patient groups.
  • The National GP Patient Survey results showed that patient’s satisfaction with access to care and treatment was comparable to local and national averages. The results for seeing a preferred GP were lower than local and national averages.

  • There was a system in place to manage complaints however, improvements should be made to the records kept to demonstrate that complaints have been satisfactorily investigated.
  • There were systems in place to monitor and improve quality and identify risk.

However there were areas of practice where the provider needs to make improvements:

  • The provider must ensure that there is a record of the required recruitment information to confirm the suitability of staff employed.

The areas where the provider should make improvements are:

  • Document reviews of significant events to demonstrate that actions identified have been implemented.

  • Ensure periodic reviews of thestablish a system for recording alerts to identify adults who are subject to the deprivation of liberty safeguards (DoLS).

  • Provide further information on the role and remit of the nurse clinician so patients can make an informed choice when making appointments.

  • Ensure all staff receive refresher training in child and adult safeguarding in a timely manner.

  • Review the system of identifying staff training requirements to assist in monitoring and planning for the training needs of staff.

  • Review the system for the investigation of complaints to ensure that all complaints are fully addressed. The investigation process clearly shows all actions taken to reach an outcome, what has been learned and any action taken as a result.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice