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Ashington House Surgery Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 22 January 2020

We carried out an announced comprehensive inspection of Ashington House Surgery on 19 November 2019 as part of our inspection programme and in response to concerns identified at a previous inspection.

At the last inspection on 9 January 2019 we rated the practice as requires improvement for providing safe and well-led care because of issues regarding staff training, policy reviews, infection prevention and control, and the management of clinical referrals. At this inspection we found the practice had addressed these issues, but that there were new concerns in providing safe care and treatment.

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.

The practice continues to be rated as requires improvement overall.

We rated the practice as requires improvement for providing safe, and well led services because of several issues with systems to manage patient safety, prescription items, and actions from infection prevention and control audits. We also found a lack of clarity from leaders around succession arrangements.

We rated the practice as good for providing effective, response and caring services because:

  • Patients received effective care and treatment that met their needs except for patients with long term conditions.
  • 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.
  • Quality outcomes were in line with the Clinical Commissioning Group and England averages.
  • Services were tailored to meet the needs of individual patients. They were delivered in a flexible way that ensured choice and continuity of care.

We rated the population group of patients with long term conditions as requires improvement. All other population groups have been rated as good.

We found areas where the provider must make improvements. The provider must:

  • Ensure that care and treatment is provided in a safe way to patients.
  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

We found several areas where the provider should make improvements. The provider should:

  • Continue to develop a centralised system to monitor appointment delays or track when a patient has missed a referral.
  • Continue with measures to address and improve exception reporting for mental health indicators.
  • Continue to implement actions to increase uptake for the cervical screening programme.

(Please refer to the requirement notice section at the end of the report for more detail).

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

Requires improvement

Well-led

Requires improvement
Checks on specific services

People with long term conditions

Requires improvement

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