The Care Quality Commission
  • Doctor
  • GP practice

Bridge Surgery

Overall: Good read more about inspection ratings

St Peters Street, Stapenhill, Burton On Trent, Staffordshire, DE15 9AW (01283) 563631

Provided and run by:
Bridge Surgery

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about Bridge Surgery 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 Bridge Surgery, you can give feedback on this service.

26 May 2021

During an inspection looking at part of the service

We carried out an announced review at Bridge Surgery on 26 May 2021 to follow up on the findings from the last inspection on 29 October 2019. During the inspection on 29 October 2019 the practice was rated good overall and for the key questions effective, caring, responsive and well-led and rated requires improvement for providing a safe service.

Due to assurances we received from our review of information, we carried forward the ratings for the following key questions: effective, caring, responsive and well-led from our last inspection in October 2019.

Following our review of the information available to us, including information provided by the practice, we focused our inspection on the following key question: safe.

Overall, the practice is rated as Good. Following our review on 26 May 202, it is rated as good in safe, effective, caring, responsive and well-led, as well as in all of the population groups.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Bridge Surgery on our website at www.cqc.org.uk

Why we carried out this review

This review was a review of information without undertaking a site visit inspection to follow up on:

  • Safe domain
  • The breach of regulations identified in the previous inspection
  • Areas for improvement identified in the previous inspection
  • Ratings were carried forward from the previous inspection which included the effective, caring, responsive and well led domains.

How we carried out the review

Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our reviews differently.

This review was carried out in a way which did not involve visiting the practice. This was with consent from the provider and in line with all data protection and information governance requirements.

This included:

  • Conducting staff interviews using video conferencing
  • Reviewing patient records to identify issues and clarify actions taken by the provider
  • Requesting evidence from the provider.

Our findings

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 had actioned and put measures in place to comply with the Regulatory breach.
  • Recruitment procedures had been improved and the required recruitment checks had been carried out.
  • Systems were in place to record the dates of annual appraisals for staff.
  • An induction policy had been developed and introduced, and a competency framework was due to be introduced in the near future.
  • The security of blank prescriptions had improved.
  • The practice continued to take action to improve the uptake of cervical cytology screening.
  • The practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic. Patients could access care and treatment in a timely way.

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

29 October 2019

During an inspection looking at part of the service

We carried out this announced inspection at Bridge Surgery on 29 October 2019 as part of our inspection programme. We carried out an inspection of this service due to the length of time since the last inspection. Following our review of the information available to us, including information provided by the practice, we focused our inspection on the following key questions safe, effective and well led.

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.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice had reviewed and re-organised the way in which services were delivered to meet patients’ needs. Patients could access care and treatment in a timely way.
  • The culture of the practice and the way it was led and managed drove the delivery and improvement of high-quality, person-centred care.
  • There was a strong focus on continuous learning and improvement at all levels of the organisation.

We rated the practice as requires improvement for providing safe services because:

  • There were gaps found in the recruitment records for some staff including their vaccination and immunity histories.

The areas where the provider must make improvements as they are in breach of regulations are:

  • Ensure specified information is available regarding each person employed.

The areas where the provider should make improvements are:

  • Implement the practice proposals for inductions tailored to specific staff roles and formalise a competency framework system for staff with extended roles.
  • Consider prescription security key safe provision.
  • Introduce systems to ensure that key environment and health and safety risk assessments completed by the landlord are available for the practice to review including any derived action plans.
  • Continue to review and improve the uptake of cervical cytology screening.
  • Implement systems which assist in ensuring that annual appraisals for all staff employed have taken place.

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

16 October 2014

During a routine inspection

Letter from the Chief Inspector of General Practice

We inspected this service on 16 October 2014 as part of our new comprehensive inspection programme. We have rated this practice as good.

We found the practice to be good in the safe, effective, caring, responsive and well-led domains. The practice provided good care to older people, people with long term conditions, families, children and young people, the working age population and those recently retired, people in vulnerable circumstances and people experiencing poor mental health.

Our key findings were as follows:

  • There were systems in place to protect adults and children who used the service from the risks of harm.
  • Staff were proactive in promoting good health and encouraging patients to be involved in and responsible for their treatment and wellbeing.
  • Patients told us that the staff were compassionate, caring and respectful towards them.
  • The practice listened to and acted on suggestions for improvement made by its patients, patient participation group (PPG) and staff.

We saw several areas of outstanding practice including:

  • Significant events were discussed with the practices’ patient participation group (PPG) and relevant professionals outside the practice so that all necessary improvements could be made and ideas to prevent re-occurrence shared.

However, there were also areas of practice where the provider needs to make improvements.

In addition the provider should:

  • Ensure that all staff are up to date with training related health and safety. This should include fire safety, infection control and equality and diversity.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

10 January 2014

During a routine inspection

We visited the surgery to establish that the needs of patients using the service were being met. On the day of the inspection we spoke with 15 patients, six staff members, two GPs, the practice manager and two community health professionals.

The patients we spoke with were all complimentary about the service. One patient said: 'The staff here have always been very good. They are always polite and helpful'. All of the patients we spoke with were happy with the appointment process at the surgery. All were confident that they would be able to book an urgent appointment to see a doctor if necessary.

Patients told us that they received care, treatment and support that met their needs. One patient said: 'The doctor always takes time to explain, he has printed me off some information today'. There were processes in place to support people with the management of long term conditions, for example diabetes and asthma.

As part of the inspection we spoke with three members of the Patient Participation Group (PPG). PPGs are an effective way for patients and GP surgeries to work together to improve the service and to promote and improve the quality of the care.

There were systems in place to ensure personal data was kept securely.