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Inspection Summary


Overall summary & rating

Good

Updated 1 February 2019

We carried out an announced comprehensive inspection at The Weaverham Surgery on 17 December 2018 as part of our inspection programme.

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:

  • Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses.
  • The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
  • The practice reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
  • The most recent results from the GP national patient survey (August 2018) showed patient satisfaction with the service for making an appointment, appointment times, overall experience and getting through to the practice by telephone were below local and national averages. The provider had made changes to the service to address this and was continuing to monitor patient satisfaction through patient feedback.
  • The practice organised and delivered services to meet the needs of patients.
  • There was a system in place for investigating and responding to patient feedback including complaints.
  • There was a focus on continuous learning and improvement at all levels of the organisation.

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

  • Introduce a system to monitor two-week rule referrals to ensure patients receive the tests they are referred for.
  • Record a risk assessment to demonstrate how the range of emergency medications held was determined.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Inspection areas

Safe

Good

Effective

Good

Caring

Good

Responsive

Good

Well-led

Good
Checks on specific services

People with long term conditions

Good

Families, children and young people

Good

Older people

Good

Working age people (including those recently retired and students)

Good

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good