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Archived: Old Hall Surgery Good

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Inspection Summary

Overall summary & rating


Updated 28 June 2019

We carried out an announced comprehensive inspection of Old Hall Surgery on 22 January 2019 as part of our inspection programme. The overall rating for the practice was good, however we rated the practice as requires improvement for safe. The full comprehensive report on the January 2019 inspection can be found by selecting the ‘all reports’ link for Old Hall Surgery on our website at

This inspection was a desk-based review carried out on 10 June 2019 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 22 January 2019. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.


Overall the practice is now rated as Good.

Our key findings were as follows:

  • The system for recruiting staff had been reviewed to ensure only fit and proper persons were employed and the provider had ensured there was a training plan in place to ensure all staff completed the training they needed for their roles.
  • The provider had taken action to address the areas where we advised them that improvements should be made. Improvements had been made to the procedures for the management of prescriptions and medication reviews. The system for reviewing the practise of clinical staff to ensure consultations, referrals and prescribing were appropriate had been formalised.
  • At our previous inspection on 22 January 2019, we advised the provider that the security of patient records should be reviewed to protect from risk of damage and inappropriate access. At this inspection, this has not been fully addressed, however the provider told us the action being taken to address this issue.

The areas where the provider should make improvements are:

  • The security of patient records should be reviewed to protect from risk of damage and inappropriate access.

Inspection areas










Checks on specific services

People with long term conditions


Families, children and young people


Older 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