You are here

Alexandra Road Surgery Requires improvement Also known as Alexandra and Crestview Surgeries

Inspection Summary


Overall summary & rating

Requires improvement

Updated 10 October 2019

We carried out an announced comprehensive inspection at Alexandra Road Surgery on 20 August 2019 as part of our inspection programme.

At this inspection we followed up on breaches of regulations identified at a previous inspection on 11 October 2018.

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

  • There were out of date medicines on the emergency trolley and in clinical rooms.
  • Quality and Outcomes Framework (QOF) data was lower than local and national averages for people with long-term conditions and people experiencing poor mental health (including people with dementia).

At this inspection, we found that the provider had not fully addressed these areas; Quality and Outcomes Framework (QOF) data had improved but was still lower than local and national averages for people with diabetes and exception reporting rates were higher than local and national averages and had increased for some indicators relating to people experiencing poor mental health.

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 Requires improvement overall.

We rated the practice as Good for providing safe services because:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.

We rated the practice as Requires improvement for providing effective, caring and well-led services because:

  • The service had not sufficiently improved the quality of care provided to people with long term conditions.
  • Uptake rates for the cervical screening programme were below the national target.
  • Exception reporting rates were higher than local and national averages and had increased in some areas in 2018/19.
  • Childhood immunisation rates were below the national target rate in all four indicators.
  • GP patient survey data related to the provision of caring services was lower than local and national averages and had fallen since the last survey.
  • The practice had a clear vision, but that vision was not supported by a credible strategy.

We rated the practice as inadequate for providing responsive services because:

  • Whilst patients could access care and treatment in a timely way in an emergency, the way the practice organised and delivered services did not meet patients’ needs. This was reflected in significantly lower national GP patient survey data which had fallen since the last survey.

These areas affected all population groups, so we rated all population groups as Inadequate.

The areas where the provider must make improvements are:

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

(Please see the specific details on action required at the end of this report).

The areas where the provider should make improvements are:

  • Improve the system for monitoring test results to ensure timely review and action.

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

Effective

Requires improvement

Caring

Requires improvement

Well-led

Requires improvement
Checks on specific services

People with long term conditions

Inadequate

Families, children and young people

Inadequate

Older people

Inadequate

Working age people (including those recently retired and students)

Inadequate

People experiencing poor mental health (including people with dementia)

Inadequate

People whose circumstances may make them vulnerable

Inadequate