The Care Quality Commission
  • Doctor
  • GP practice

Falkland House Surgery

Overall: Good read more about inspection ratings

Falkland Road, Sheffield, South Yorkshire, S11 7PL (0114) 266 0335

Provided and run by:
Falkland House Surgery

All Inspections

During an assessment under our new approach

Date of Assessment: 14 April 2026. Falkland House Surgery is a GP practice and delivers services to approximately 3,973 people under a contract held with NHS England. According to the latest available data, the ethnic make-up of the service area is approximately 87.7% White, 6% Asian, 1.35% Black, 3.4% Mixed and 1.4% Other. Information published by the Office for Health Improvement and Disparities shows deprivation within the service population group is in the 10th decile (10 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 to ensure people were kept safe. They assessed and managed the risk of infection well and took steps to control the risk of it spreading. There were enough staff with the right skills, qualifications and experience. Staff supported people to live healthier lives, monitoring their care and treatment to ensure they received positive and consistent outcomes. Staff were exceptional at treating 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 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 accounted for the actions, behaviours and performance of staff through clear and effective governance processes.

24 April 2018

During a routine inspection

This practice is rated as Good overall (Previous inspection 21 April 2016 - Good)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Falkland House Surgery on 24 April 2018 as part of our inspection programme.

At this inspection we found:

  • The practice had systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice took action and improved their processes.
  • The practice reviewed the effectiveness and appropriateness of the care it provided. It 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 focus on continuous learning and improvement at all levels of the organisation.
  • There was a clear leadership structure and staff told us they felt respected, supported and valued. They felt part of a team and were proud to work in the practice.

The areas where the provider should make improvements are:

  • Review the documenting processes for completing actions identified within risk assessments.
  • Develop a programme of clinical audit to identify new topics and ensure second cycles of existing audits are completed.
  • Encourage learning from feedback and events is shared with all staff.
  • Monitor systems and processes to support good governance more closely to ensure they are completed in a  timely manner.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

21 April 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr S C Eilbeck and Dr T R Cossham on 21 April 2016. Overall the practice is rated as good.

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

  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills and expertise to deliver effective care and treatment to patients and this was maintained through a programme of continuous development to ensure skills remained current.
  • Patients told us staff were exceptionally caring, they were treated with compassion, dignity, respect and they were involved in their care and decisions about their treatment. Feedback from patients about their care and treatment was consistently strong and positive. National GP patient survey data published 7 January 2016 showed patient satisfaction was very high with 100% of patients saying they had confidence and trust in the last GP they saw or spoke to (national average 95%).
  • There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed.
  • Information about services and how to complain was available and easy to understand.
  • Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The registered provider was aware of and complied with the requirements of the Duty of Candour.
  • The practice had in the previous month seen its list size increase by approximately 700 patients due to the closure of a nearby practice. They had been very proactive in getting to know the background of these new patients and had recruited an extra doctor to meet the additional demand on the practice.

The area where the provider should make improvement is:

  • The practice should consider the need to have a defibrillator on site to deal with medical emergencies and complete a formal risk assessment.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice