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Inspection Summary

Overall summary & rating


Updated 17 March 2020

We carried out an announced focused inspection at Weston Lane Surgery on 14 January 2020 as part of our inspection programme.

At this inspection we followed up on the breach to regulation 12 of the Health and Social Care Act 2014: Safe Care and treatment identified at a previous inspection on 25 February 2019. The shortfalls identified related a lack of assurance around safe management of medicines and in the following of the policies and procedures for managing, administering and storing of medicines. We also identified some areas for improvement around fire safety across the main location and branch sites (although these were not part of the regulatory breach).

In December 2019 we undertook an annual regulatory review for Weston Lane Surgery and from this we identified there had been no change to the quality of care for delivering effective, caring, responsive or well-led services. As such we undertook a planned follow up inspection of safe only to follow up on the regulatory breaches identified at the previous inspection.

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.

The practice is now rated as good for safe.

We found that:

  • The practice had made improvements to the areas identified in breach of regulation at the previous inspection particularly for cold chain storage.
  • The practice had streamlined their fire safety policies and processes across each location or branch site across the organisation.
  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • The practice had continued to monitor staffing levels and recruit to vacant posts in order to ensure safe delivery of services.
  • The practice had implemented new systems to support with monitoring and oversight of training, HR and recruitment as well as for reviewing of maintenance.

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


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