Southfield Way Surgery

Updated 7 April 2025

Date of Assessment: 6 May 2025 to 12 May 2025. Southfield Way Surgery is a GP practice and delivers service to 3173 patients under a contract held with NHS England. The National General Practice Profiles states that the patient ethnicity profile is made up of 96.02% White, 1.82% Asian, 0.45% Black,1.5% Mixed and 0.25 Other. Information published by Office for Health Improvement and Disparities shows that deprivation within the practice population group is in the 7 decile (7 of 10). The lower the decile, the more deprived the practice population is relative to others. 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.

Under our previous methodology the practice was rated requires improvement overall at the inspection carried out in December 2022. The service was rated as requires improvement for providing safe, effective and responsive services, rated good for providing caring services and inadequate for providing well led services.

This announced comprehensive assessment was carried out to follow-up on the 2 breaches identified at our last assessment. The service has now been rated good overall with requires improvement in providing safe services.

Updated 7 April 2025

People were generally positive about the quality of their care and treatment. Data from the most recent National GP Patient Survey showed people were satisfied with services with 71% describing their overall experience as good. Overall results were mainly in line with local and national averages. However, 60% of respondents said it was easy to contact this GP practice on the phone compared with the local average of 52% and the National average of 50%. One review had been recorded in the previous 12 months on the NHS website and rated the practice 5 out of 5 for the care and treatment received. Since the last inspection a patient participation group (PPG) who represented the views of people using the service had been formed and positive working relationships had been developed. The representative from the PPG described how leaders had made positive changes to the service based on their feedback. This included improved patient access, an interactive website, a regular locum GP to provide continuity of care and a more welcoming reception area with informative notice boards. The Care Quality Commission (CQC) had received 5 concerns from people using the service in the previous 12 months. Concerns shared were in relation to the ordering of medicines, high turnover of staff, not feeling listened to or taken seriously, culture, unsafe environment, removal of patients from the register, leadership and care and treatment. However the nursing team were described as exceptional and going above and beyond for their patients.