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Inspection Summary

Overall summary & rating


Updated 20 February 2020

We carried out an announced comprehensive inspection at Locking Hill Surgery on 24 January 2020 as part of our inspection programme.

At the last inspection on 29 January 2019 we rated the practice as requires improvement for providing safe and effective services because:

  • The practice system was not effective in ensuring that patients who required monitoring and reviews were recalled appropriately.
  • The monitoring of patients prescribed high risk medicines was not effective.
  • The system for managing safety alerts was not effective.
  • There was no protocol for reception staff of when to advise patients to call 999 in the case of a medical emergency.
  • Exception reporting was higher than local and national averages and performance was lower for Mental Health indicators.

At this inspection, we found that the provider had satisfactorily addressed these areas.

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 except for families, children and young people.

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 organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

Whilst we found no breaches of regulations, the provider should:

  • Continue to monitor and address exception reporting data that was outside of the expected range.
  • Continue to implement actions to improve the uptake for childhood immunisation.
  • Monitor and implement actions to increase the number of patients, with certain conditions whose notes record their smoking status.

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

Requires improvement

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