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Inspection carried out on 3 Dec 2019

During a routine inspection

We carried out an announced comprehensive inspection at The Limes Surgery on 3 December 2019 as part of our inspection programme.

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.
  • 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.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centred care.

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

  • Continue to take steps to improve uptake of women attending for their cervical screening.
  • Continue to review the results from the National GP Patient Survey and make improvements in areas below the local and national average.
  • Take steps to ensure risk assessment for the security of the premises, fire safety, emergency medicines and legionella are appropriate and regularly reviewed.
  • Formalise the process in place for supervising and auditing the non-medical prescriber.

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