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Ingleton Avenue Surgery Good

Reports


Review carried out on 9 September 2021

During a monthly review of our data

We carried out a review of the data available to us about Ingleton Avenue Surgery on 9 September 2021. 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 Ingleton Avenue Surgery, you can give feedback on this service.

Review carried out on 12 March 2020

During an annual regulatory review

We reviewed the information available to us about Ingleton Avenue Surgery on 12 March 2020. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

Inspection carried out on 12/01/2019

During a routine inspection

We carried out an announced comprehensive inspection at Ingleton Avenue Surgery on 12 February 2019 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 providing safe, effective, caring responsive and well led services.

We have rated the practice as good for providing effective and responsive care to older people, people with long term conditions, families, children and young people, working age people, those whose circumstances may make them vulnerable and those experiencing poor mental health.

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. Leaders had the capacity and skills to deliver high-quality, sustainable care. They had a shared purpose, strived to deliver and motivated staff to succeed.
  • Feedback from patients who used the service, those close to them and external stakeholders was continually positive about the way staff cared for patients.
  • Staff told us they felt supported and engaged with managers and there was a strong focus on continuous learning and improvement at all levels of the organisation.

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

  • Improve the identification of carers to enable this group of patients to access the care and support they need.
  • Introduce systems to ensure staff are aware of family members where a child within that household is on the at-risk register.
  • Ensure systems are in place to check all items within the doctor’s bags are calibrated appropriately.
  • Complete the second cycle of clinical audit to demonstrate quality improvement.
  • Identify ways of increasing the percentage of children aged two years old and who have not received their boosters and vaccinations.
  • Identify ways to increase the uptake of cervical screening among women aged between 25 to 64 years of age.

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 carried out on 29 September 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Ingleton Avenue Surgery on 29 September 2015. Overall the practice is rated as good.

Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the CQC at that time.

Our key findings were as follows:

  • The practice had processes for reporting incidents and concerns and staff understood and fulfilled their responsibilities to raise concerns and report incidents. Information about safety was recorded and monitored and actions taken to make improvements when required;
  • Risk assessments were completed and risks to patients were well managed;
  • Patients’ needs were assessed and care and treatment was planned and delivered following best practice guidance;
  • Staff received training to help them carry out their roles and were encouraged and supported to develop their role further;
  • Patients told us their privacy and dignity were respected and they were treated with respect and they were involved in decisions about their care and treatment;
  • Patients said staff were helpful, caring, approachable and polite;
  • Information about the services provided at the practice and how to make a complaint were accessible to patients at the practice, in their patient information leaflet and on the practice website;
  • Patients told us they found it easy to make an appointment with their preferred GP and that they received good continuity of care;
  • The practice provided appointments outside of working and school hours and urgent appointments were available on the same day;
  • The practice was equipped to treat patients and meet their needs;
  • There was a clear leadership structure and staff felt supported by the partners and managers;
  • The practice sought feedback from patients and staff and acted upon it.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice