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Inspection Summary


Overall summary & rating

Good

Updated 17 May 2019

We carried out an announced comprehensive inspection at Central Surgery on 14 March 2019 as part of our inspection programme. We previously inspected the practice on 15 July 2015 when we rated the practice as good in all areas with an overall rating of good.

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 and good for all population groups.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm. They had engaged with the clinical commissioning group and adopted local safeguarding procedures and staff were all trained and aware of how to deal with safeguarding issues.
  • The practice monitored their performance in the Quality and Outcomes Framework (QOF) and addressed areas which required focus. 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 was well organised with structured working patterns to provide access for patients and meet their needs. However, patients’ satisfaction with accessing the practice by telephone was below the local and national averages.
  • The practice had doctors with clinical expertise in specific areas which was used effectively to deliver services, such as family planning, hormone replacement therapy and minor surgery.

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

  • Review the system to ensure it captures all significant events and that the learning is shared with relevant staff.
  • Review the training programme to establish a more streamlined approach to the practice’s mandatory training.
  • Ensure the updates on National Institute for Health and Care Excellence (NICE) guidance are included in clinical meetings.
  • Review the system for identifying and supporting carers to ensure their needs are met.
  • Introduce a system to formalise clinical oversight of prescribing nurses.
  • Continue to monitor telephone access to ensure changes are effective.
  • Monitor the system for recording prescriptions within the practice.

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

Good

Families, children and young 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