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Inspection Summary


Overall summary & rating

Good

Updated 25 March 2019

We carried out an announced comprehensive inspection at Woodley Centre Surgery (and the branch surgery in Winnersh) on 5 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 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 organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way because the appointment systems had been revised in the last 18 months.
  • The practice promoted the delivery of high-quality, person-centre care.
  • Monitoring of systems to ensure safe and effective provision of care were not always operated consistently.

We found two areas of outstanding practice:

  • The practice retained a register of at risk children who had de-registered from the practice. This enabled the practice to contribute to any safeguarding reviews for these patients.
  • Group consultations were held for patients with specific long term conditions. Patient feedback about these consultations was positive. Patients said they had a better understanding of their condition, how to manage it and use the experience of others with a similar condition as a motivation in their care.

However, we found a breach of regulation that led to a judgement that the practice requires improvement for provision of well led services the provider must:

  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

The provider could also make additional improvements and should:

  • Review the processes in place for following up invitations to take part in the cervical cancer screening programme. The uptake among patients eligible to take part in this screening was below the national target of 80%.

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

Well-led

Requires improvement
Checks on specific services

People with long term conditions

Good

Families, children and young 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