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Market Square Surgery Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 16 December 2019

We carried out an inspection of Market Square Surgery on 7th October 2019 due to the length of time since the last inspection. We previously inspected this practice on 24th October 2014. 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 requires improvement overall and requires improvement for all population groups.

We have rated this practice as Inadequate for providing safe services because:

  • Prescribing was not always in line with guidance.
  • Action was not taken following patient safety alerts.
  • Patients prescribed medicines that required monitoring, including high-risk medicines, were not being reviewed.
  • Prescription stationery was not being tracked as it was distributed to clinicians around the practice.

We have rated this practice as requires improvement for providing effective services. Families, children and young people and working age people (including those recently retired and students) is rated as requires improvement for providing effective care because:

  • The practice did not have suitable arrangements to identify and review the treatment of women of childbearing age on long-term medicines that may be of risk.
  • Targets in relation to cervical screening had not been met. There were insufficient arrangements to monitor and improve performance.

We have rated this practice as requires improvement for providing well-led services because:

  • Systems to identify, manage and mitigate risks were not effective.

The areas where the provider should make improvements are:

  • Continue to review and improve Public Health data relating to cervical screening.

The areas where the provider must make improvements are:

  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

Details 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

Safe

Inadequate

Effective

Requires improvement

Caring

Good

Responsive

Good

Well-led

Requires improvement
Checks on specific services

People with long term conditions

Requires improvement

Families, children and young people

Requires improvement

Older people

Requires improvement

Working age people (including those recently retired and students)

Requires improvement

People experiencing poor mental health (including people with dementia)

Requires improvement

People whose circumstances may make them vulnerable

Requires improvement