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Inspection Summary

Overall summary & rating


Updated 5 December 2019

Following our annual regulatory review of the information available to us, we inspected this service on 31 October 2019. The service was last inspected in February 2016. It was rated as good for each of the five key questions and rated good overall. This inspection looked at the following key questions; was the service providing effective and well led services for the registered patient population. We decided not to inspect whether the practice was providing safe, caring or responsive services as there was no information from the annual regulatory review which indicated this was necessary.

We based our judgement of the quality of care at this service 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 and good for all population groups.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients received effective care and treatment that met their needs.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
  • Governance systems were robust and regularly reviewed.
  • The practice was engaged in local initiatives and worked alongside partners in the local healthcare system.

We found no breaches of regulations. However, the areas where the practice should make improvement are:

  • Continue to implement actions with a view to improving uptake for the cervical screening programme.
  • Continue to monitor exception reporting data that was outside of the expected range.
  • Continue to support the actions designed to implement the Patient Participation Group.

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










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