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Inspection Summary

Overall summary & rating


Updated 5 January 2021

We carried out an inspection of Market Square Surgery on 23 November 2020. This inspection was to follow up on breaches of regulations identified at a previous inspection on 7 October 2019 and to provide new ratings for the practice.

At our previous inspection, we found concerns with monitoring prescription stationery, prescribing high-risk medicines, action following patient safety alerts and performance for cervical screening. The practice was rated as requires improvement overall, with inadequate for safe and requires improvement for effective and well-led. Caring and responsive were rated as good.

We took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering how we carried out this inspection. We therefore undertook some of the inspection processes remotely and spent less time on site. We conducted staff interviews between 12 November 2020 and 19 November 2020 and carried out a site visit on 23 November 2020.

Following our review of the information available to us, including information provided by the practice, we focused our inspection on the following key questions:

  • Are services at this location safe?
  • Are services at this location effective?
  • Are services at this location well-led?

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. All population groups were rated as good, except people whose circumstances make them vulnerable, which was rated as outstanding. This was because:

  • The practice had overstaffed during the lockdown period to ensure that services continued to be responsive. The practice used these resources to review and monitor vulnerable patients.
  • The practice had reviewed and improved processes for responding to the needs of patients in care homes and shared these at PCN level.
  • Innovative systems were implemented to ensure that the needs of this group were met during lockdown.

The areas where the provider should make improvements are:

  • Review and improve feedback in the GP patient survey around the care provided.
  • Continue to review and improve Public Health data relating to cervical screening.

Details of 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










Checks on specific services

People with long term conditions


Families, children and young people


Older people


Working age people (including those recently retired and students)


People experiencing poor mental health (including people with dementia)


People whose circumstances may make them vulnerable