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Inspection Summary


Overall summary & rating

Good

Updated 23 October 2020

We carried out an announced inspection at The Grove Surgery on 1 October 2019. The overall rating for the practice was good with the practice rated as requires improvement for being safe.

From the inspection on 1 October 2019, the practice was told they must:

  • Ensure care and treatment is provided in a safe way to patients.

In addition, the practice was told they should:

  • Continue to monitor the practice’s performance, in particular the number of patients being excepted.
  • Encourage improved uptake of national cancer screening initiatives and childhood immunisations amongst the practice population.
  • Ensure all staff complete sepsis awareness training.
  • Accurately record smoking status for patients.

The full comprehensive report on the inspection carried out in October 2019 can be found by selecting the ‘all reports’ link for The Grove Surgery on our website at www.cqc.org.uk.

This inspection was a desk top follow up focused inspection undertaken on 1 October 2020 as part of our inspection programme to follow up on concerns identified at our previous inspection.

We based our judgement of the quality of care at this service on a combination of:

  • documentation and information submitted by the provider.
  • 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 had made improvements to the treatment room as required to ensure compliance with Infection Prevention and Control (IPC) standards.
  • Individual staff immunisation status had been checked and recorded in a central spreadsheet by the practice. This showed evidence of vaccination for all current staff.
  • All staff had completed sepsis awareness training.
  • Published data reviewed from the Quality and Outcomes framework (01/04/2018 to 31/03/2019) showed exception reporting was still high for the practice, comparative to local and national averages. The practice advised they had worked hard to improve patient uptake and expected the data to reflect positive improvements when next published.
  • Similarly, the practice advised they had taken active steps to encourage patient uptake of national cancer screening initiatives and childhood immunisations amongst the practice population through targeted discussions and information displayed in the practice. Although the challenges of their patient population remained, they anticipated some improvement would be reflected in the data when next published.

The areas where the provider should make improvements are:

  • Continue to monitor the practice’s performance, in particular the number of patients being excepted.
  • Encourage improved uptake of national cancer screening initiatives and childhood immunisations amongst the practice population.

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

Safe

Good

Effective

Good

Caring

Good

Responsive

Good

Well-led

Good
Checks on specific services

People with long term conditions

Good

Families, children and young people

Good

Older 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