• Doctor
  • GP practice

Cranleigh Gardens Medical Centre

Overall: Requires improvement read more about inspection ratings

Cranleigh Gardens, Bridgwater, Somerset, TA6 5JS (01278) 433335

Provided and run by:
Cranleigh Gardens Medical Centre

All Inspections

During an assessment under our new approach

Date of Assessment: 20 July 2026. Cranleigh Gardens Medical Centre is a GP practice and delivers services to approximately 14,000 people under a contract held with NHS England. In addition to the main site in Bridgwater, the service also ran a branch site in Westonzoyland called Westonzoyland Surgery. Both sites were visited during this assessment. According to the latest available data, the ethnic make-up of the service area is approximately 95% White, 3% Asian and 2% Mixed, Black and Other. Information published by the Office for Health Improvement and Disparities shows deprivation within the service population group is in the 4 decile (4th of 10). The lower the decile, the more deprived the service population is relative to others.

This was a focused assessment. We undertook this assessment due to the length of time since our last assessment. We assessed 10 quality statements from across all 5 key questions. This assessment considered the demographics of the people using the service, the context the service was working within and how this impacted service delivery. Where relevant, further commentary is provided in the quality statements section of this report.

Staff kept facilities clean and maintained equipment appropriately. The service assessed risks to the health and safety of staff and people using the service. However, actions identified through these risk assessments were not always completed consistently to ensure risks were mitigated and people were kept safe. There were enough staff with the right skills and qualifications. However, not all required pre-employment checks had been completed during staff recruitment.

Staff supported people to live healthier lives, monitoring their care and treatment to ensure they received positive and consistent outcomes.

Staff treated people with kindness, empathy and compassion, and respected their privacy and dignity.

People could access care, treatment and support when they needed it. Leaders and staff were alert to discrimination and inequality that could disadvantage groups of people who used the service and sought ways to address any barriers.

The service had a clear vision and strategy, which considered the needs of the people who used their service and the wider community.

Staff understood their individual roles and responsibilities. Leaders were accountable for the actions, behaviours and performance of staff through governance processes. However, these processes were not always effective or consistently followed. Leaders did not have sufficient oversight to ensure delegated tasks were completed or actions identified through risk assessments had been addressed, meaning risks were not always effectively monitored and managed.

We identified breaches of regulations relating to safe care and treatment and good governance. We have asked the provider for an action plan in response to the concerns found at this assessment.

10 Apr to 10 Apr

During an inspection looking at part of the service

This practice is rated as Good overall. (Previous rating December 2018 – Good overall with requires improvement for safe).

The key question at this inspection is rated as:

Are services safe? – Good

We carried out an announced focused inspection at Cranleigh Gardens Medical Centre on 10 April 2019 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breach in Regulation 13 HSCA (RA) Regulations 2014: Safeguarding service users from abuse and improper treatment. We had identified systems and processes should be implemented to provide staff with safeguarding training necessary for their role including vulnerable adults at risk of abuse and Prevent. We found the concerns had been resolved when we undertook a follow up inspection of the service on 10 April 2019.

During this inspection we reviewed areas where the provider should make improvements identified in our previous inspection (5 December 2018) and our key lines of enquiry for ‘Safe’. This report and supporting Evidence Table covers our findings in relation to these.

The full comprehensive report on the December 2018 inspection can be found by selecting the ‘all reports’ link for Cranleigh Gardens Medical Centre on our website at www.cqc.org.uk

At this inspection we found:

  • The practice had clear systems, processes and practices to protect people at risk of or suffering from abuse or neglect.
  • Staff have the necessary skills and competencies appropriate for their role to identify and raise safeguarding concerns.
  • There was a strong focus on continuous learning and improvement at all levels of the organisation. We found the practice’s necessary and statutory training for staff was in line with or above national guidance.
  • Arrangements were in place to support and manage staff to deliver effective care and treatment such as clinical supervision for nurses and annual appraisal system for salaried GPs.
  • The practice had taken action to improve cervical screening uptake rates and identify the number of patients with carer responsibilities.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Please refer to the detailed report and the evidence tables for further information.

5 Dec to 5 Dec

During a routine inspection

We carried out an announced comprehensive inspection at Cranleigh Gardens Medical Centre on 5 December 2018. As part of our inspection programme we also visited the branch surgery: Westonzoyland Surgery on 3 December 2018.

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 had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. They ensured that care and treatment was delivered according to evidence- based guidelines.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.
  • Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
  • There was a strong focus and embedded system of quality improvement at all levels of the organisation. Leaders worked with external health organisations locally and nationally to support high-quality person-centred care delivery.

The areas where the provider must make improvements are:

  • Ensure patients are protected from abuse and improper treatment.

In addition to the above, the provider should:

  • Complete annual appraisals for salaried GPs.
  • Implement a formal system for clinical supervision for nursing staff.
  • Take action to ensure all staff have received relevant and mandatory training such as dementia awareness, safeguarding training in line with national guidance including vulnerable adults at risk of abuse and Prevent.
  • Fully document actions as an outcome of safeguarding meetings.
  • Take action to improve cervical screening uptake rates.
  • Take action to increase the number of carers identified at the practice.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

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

18 November 2014

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out a comprehensive inspection of Cranleigh Gardens Medical Centre on 18 November 2014. The provider has a branch surgery in Westonzoyland, Somerset but we did not inspect this as part of our inspection.

Overall we judged this service as good.

Our key findings were as follows:

  • Routine appointments could usually be fitted in within a week. If a patient requested they were given a same-day triage call.
  • Patient’s needs were assessed and care was provided accordingly.
  • There were systems in place to ensure the safety of patients, staff and visitors to the practice.
  • The patient participation group (PPG) actively engaged with patients to seek feedback and acted as “eyes and ears” for the practice management. Where changes were made to the operation of the practice the PPG acted as intermediary to provide patients’ views.
  • The practice manager and deputy manager had an open door policy and staff told us they were approachable. Staff said they could go to the practice manager, deputy, their team leader or any of the GPs for support if needed.

We saw several areas of outstanding practice including:

  • For patients with long term conditions the practice had developed a ‘patient passport’. The practice leaflet explained the ‘passport’ was a small booklet that patients took to appointments to help with the booking of follow-up appointments. The aim of the passport was to help direct the patient by recording when they needed to be seen, by whom and for what purpose. This ensured patients were seen in a timely way.
  • As part of succession planning the practice was engaging with the Equality and Diversity Forum so that it would be able to meet the needs of any population group growth.
  • There was a men’s health event provided by the practice. Men were invited to the event to enable them to gain specific information relating to men’s health issues.

However, there were also areas of practice where the provider needs to make improvements.

The provider should:

  • The provider should ensure the start date for the use of sharps bins is recorded.
  • In order to protect staff and patients GPs should not leave medicines on desks, unsecured.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice