• Doctor
  • GP practice

St Lawrence Surgery

Overall: Outstanding read more about inspection ratings

The St Lawrence Surgery, 79 St Lawrence Avenue, Worthing, West Sussex, BN14 7JL (01903) 222900

Provided and run by:
St Lawrence Surgery

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about St Lawrence Surgery on 6 July 2023. 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 St Lawrence Surgery, you can give feedback on this service.

23 September 2022

During a routine inspection

We carried out an announced comprehensive inspection at St Lawrence Surgery on 23 September 2022. Overall, the practice is rated as outstanding.

Safe - good

Effective - good

Caring - good

Responsive – outstanding

Well-led - outstanding

Following our previous inspection on 2 August 2016 the practice was rated outstanding overall and for providing responsive and well-led services. They were rated good for providing safe, effective and caring services.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for St Lawrence Surgery on our website at www.cqc.org.uk

Why we carried out this inspection

We undertook this inspection as part of a random selection of services rated Good and Outstanding to test the reliability of our new monitoring approach. The inspection was a comprehensive inspection to look at all key questions.

How we carried out the inspection/review

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.

This included:

  • Conducting staff interviews using video conferencing.
  • Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
  • Reviewing patient records to identify issues and clarify actions taken by the provider.
  • Requesting evidence from the provider.
  • A short site visit.

Our findings

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 found that:

  • The practice was engaged with other local services and were active in working collaboratively to develop services that met the needs of the local population. Examples included the development of LGBTQ+, veteran, safeguarding and mental health services.
  • They continued to provide high quality care and treatment and inspired staff to use innovative ways to improve services for patients.
  • They routinely carried out a number of quality improvement projects to meet the changing needs of the local population.
  • They shared improvement initiatives with other practices to develop services locally and nationally.
  • 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.

We found the following outstanding practice:

  • The practice had implemented a patient signposting service and developed the multidisciplinary team in a way that improved access to general practice appointments for patients. There was a demonstrable improvement in GP patient survey results.

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

  • Implement a system of checks to ensure that patients referred for a two week wait referral have attended their appointment.

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

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services

02 August 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at St Lawrence surgery on 02 August 2016. Overall the practice is rated as outstanding.

Our key findings across all the areas we inspected were as follows:

  • Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. All opportunities for learning from internal and external incidents were maximised.

  • The practice used innovative and proactive methods to improve patient outcomes, working with other local providers to share best practice. For example they regularly shared the learning from significant events with other local practices.

  • Feedback from patients about their care was consistently positive.

  • The practice worked closely with other organisations and with the local community in planning how services were provided to ensure that they met patients’ needs. For example they supported their local GP provider company to submit a bid for funding from the Prime Ministers challenge fund to provide this service across Worthing and Adur.

  • The practice implemented suggestions for improvements and made changes to the way it delivered services as a consequence of feedback from patients and from the patient participation group (PPG). For example they installed a new telephone system in response to patient feedback.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • The practice actively reviewed complaints and how they were managed and responded to, and made improvements as a result.
  • The practice had a clear vision which had quality and safety as its top priority. The strategy to deliver this vision had been developed with the patient participation group and was regularly reviewed and discussed with staff.
  • The practice had strong and visible clinical and managerial leadership and governance arrangements.

We saw several areas of outstanding practice including:

  • The practice employed a practice care co-ordinator who had a pivotal role as a liaison between the practice, patients and external agencies. This meant that members of the multi-disciplinary team (MDT), safeguarding teams, palliative care teams, pro-active care teams and carers all had a single contact point within the practice which ensured that patients had seamless care.

  • The practice worked very closely with the patient participation group (PPG) and considered them an integral part of the practice team. For example the practice ran walking, singing and weight management groups in conjunction with the PPG in order to promote patient well-being. They formed a self-care forum that led their self-help initiative producing a variety of self-care leaflets and devoting an area in the waiting room to self-care advice. The PPG chair was involved in the recruitment and selection of new GPs and sat on the interview panel. The PPG also helped organise an annual health promotion day for patients and regular evening educational events.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice