During an assessment under our new approach
Date of Assessment: 13 October to 21 October 2025.
The Quarter Jack Surgery is a GP practice and delivers service to approximately 15,500 patients under a contract held with NHS England. The service also has a branch site, known as The Old Dispensary.
This was a comprehensive assessment covering all key questions in safe, effective, caring, responsive and well-led. We inspected this service because the age of the rating and also in response to information of concern.
The National General Practice Profiles states the service has a higher-than-average number of patients over the age of 60 and also between the ages of 10 and 19.
Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the 9th decile (9 of 10). The lower the decile, the more deprived the practice population is relative to others.
This assessment considered the demographics of the people using the service, the context the service was working within and how this impacted service delivery. Where relevant, further commentary is provided in the quality statements section of this report.
The service demonstrated a good learning culture, and people could raise concerns. Leaders investigated incidents thoroughly, ensuring people were protected and kept safe. Staff understood and effectively managed risks. The facilities and equipment met the needs of people, were clean and well-maintained, and any risks were mitigated. There were sufficient staff with the appropriate skills, qualifications, and experience to deliver safe, high-quality care. Leaders ensured staff received training and regular appraisals to maintain standards. Medicines were managed safely, and people were involved in planning any changes to their care.
The service was overdue a fire risk assessment, and their last completed one was in 2019 which was identified during the inspection. The service was able to provide evidence that this had been booked following the inspection. The service had previously completed an assessment with the local fire and rescue service which resulted in an action plan for immediate and follow-up actions, as well as fire warden risk assessments.
People were involved in assessments of their needs. Staff reviewed assessments taking account of people’s communication, personal and health needs. Care was based on latest evidence and good practice. Staff worked with all agencies involved in people’s care for the best outcomes and smooth transitions when moving services. Staff made sure people understood their care and treatment to enable them to give informed consent. Staff involved those important to people and made decisions in people’s best interests when they did not have capacity.
People were treated with kindness and compassion. Staff protected their privacy and dignity. They treated them as individuals and supported their preferences. People had choice in their care and treatment. The service supported staff wellbeing.
People were involved in decisions about their care. The service provided information people could understand. People knew how to give feedback and were confident the service took it seriously and acted on it. The service was easy to access and worked to eliminate discrimination. People received fair and equal care and treatment. The service worked to reduce health and care inequalities through training and feedback. People were involved in planning their care and understood options around choosing to withdraw or not receive care.
Leaders and staff had a shared vision and culture based on listening, learning and trust. Leaders were visible, knowledgeable and supportive, helping staff develop in their roles. Staff felt supported to give feedback and were treated equally, free from bullying or harassment. Staff understood their roles and responsibilities. Leaders worked with the local community to deliver the best possible care and were receptive to new ideas. There was a culture of continuous improvement with staff given time and resources to try new ideas.