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Bucklands End Lane Surgery Good

Inspection Summary

Overall summary & rating


Updated 25 September 2019

We carried out an announced focussed inspection of Buckland’s End Lane Surgery on 3 September 2019. We carried out an inspection of this service following our annual review of the information available to us including information provided by the practice. Our review indicated that there may have been a significant change to the quality of care provided since the last inspection.

This inspection focused on the following key questions: Well-led and Effective (including effective care across the six population groups). The six population groups are:

  • Older people
  • People with long-term conditions
  • Families, children and young people
  • Working age people (including those recently retired and students)
  • People whose circumstances may make them vulnerable
  • People experiencing poor mental health (including people with dementia)

Because of the assurance received from our review of information we carried forward the Good ratings for the following key questions: Safe, Caring and Responsive (including responsive services for the six population groups).

You can read the reports from our last inspections by selecting the ‘all reports’ link for Buckland’s End Lane Surgery on our website at

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.

Following this inspection we have rated this practice Good for providing well-led services and Good for providing effective care to all the population groups.

We found that:

  • There were clear and effective processes for managing risks and the practice was able to demonstrate that staff had the skills, knowledge and experience to carry out their roles.
  • Patients’ needs were assessed and care and treatment was delivered in line with current legislation and evidence-based guidance. There was also evidence to support that regular multidisciplinary working took place with inclusion from other health and social care services.
  • We saw evidence of effective quality improvement activities undertaken in the practice to improve care and services for patients.
  • The practice had a clear vision and credible strategy to provide high quality sustainable care.
  • There were clear responsibilities, roles and systems of accountability to support good governance and management in most areas.
  • There was evidence of positive performance across many clinical areas including some areas of cancer reviews and childhood immunisations uptake and we noted efforts to improve in areas where practice achievement was below average or under target.

(Please see the specific details on action required at the end of this report).

The areas where the provider should make improvements are:

  • Continue with efforts to improve uptake of childhood immunisations in specific areas and cancer screening.
  • Improve the governance of the safety alert system utilised in practice.
  • Continue with efforts to address IT issues inherited on the patient record system, in order to avoid exception reporting as a work-around.

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










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