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Shere Surgery/Dispensary Good

Inspection Summary


Overall summary & rating

Good

Updated 4 November 2019

We carried out an announced comprehensive inspection at Shere Surgery / Dispensary on 25 September 2019 as part of our inspection programme.

We had previously carried out an announced comprehensive inspection at Shere Surgery / Dispensary in October 2014 and a focused inspection in October 2015. The practice was last rated as Good overall and Good in all domains. All of the practices’ previous reports can be found by selecting the ‘all reports’ link for Shere Surgery / Dispensary on our website www.cqc.org.uk

We carried out an inspection of this service due to the length of time since the last inspection. Following our review of the information available to us, including information provided by the practice, we focused our inspection on the following key questions:

  • Is it Safe
  • Is it Effective
  • Is it Caring
  • Is it Responsive
  • Is it Well led

We have rated this practice as good overall and in all of the key questions. They have been rated as good overall for all population groups.

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 rated the practice good for providing safe, effective, caring, responsive and well-led care because:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients received effective care and treatment that met their needs.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs.
  • Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
  • There was a clear leadership structure and staff felt supported by management.
  • Staff worked well together as a team and all felt supported to carry out their roles. There was a strong team ethos and culture of working together for a common aim.
  • The practice, with help from the local charity SALV (Shere and local villages), was able to offer their patients in house ultrasounds, microsuction and ear irrigation, a dermatoscopy service, women’s health initiatives and direct patients to a ‘Villages Helpline’ for patients who were potentially lonely or isolated.
  • The practice were winners at the 2018 National GP Awards for Women’s Health Initiative.
  • The practice continued to improve access to mental health services for all patients. For example, young people could be offered cognitive behavioural therapy in house.

Whilst we found no breaches of regulations, the provider should:

  • Review and continue to monitor cervical smear screening to meet Public Health England screening rate target
  • Review and continue to monitor child immunisation rates to meet World Health Organisation (WHO) targets

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

Good

Effective

Good

Caring

Good

Responsive

Good

Well-led

Good
Checks on specific services

People with long term conditions

Good

Families, children and young people

Good

Older people

Good

Working age people (including those recently retired and students)

Good

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good