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Review carried out on 9 September 2021

During a monthly review of our data

We carried out a review of the data available to us about Croft Surgery on 9 September 2021. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Croft Surgery, you can give feedback on this service.

Inspection carried out on 21/01/2020

During a routine inspection

We carried out an announced comprehensive inspection at Croft Surgery on 21 January 2020 as part of our inspection programme.

The practice had re-registered as a partnership with the Care Quality Commission in February 2019. We therefore carried out a comprehensive inspection of the service under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We carried out a planned inspection to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008 and to provide a rating for the service under the Care Act 2014.

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. 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.

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

  • Improve the investigative process when reviewing significant events.
  • Improve document control.
  • Record and respond to environmental and health and safety alerts.
  • Consider reviewing the emergency protocol for receptionists.
  • Include raise staff awareness of practice vision and values.
  • Consider a forward audit plan.

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