The Care Quality Commission
  • Doctor
  • GP practice

Archived: University Southgate Practice

Overall: Good read more about inspection ratings

11 Bournbrook Road, Birmingham, West Midlands, B29 7BL (0121) 415 5237

Provided and run by:
University Southgate Practice

All Inspections

6 August 2019

During an annual regulatory review

We reviewed the information available to us about University Southgate Practice on 6 August 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

1 November 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at University Southgate Practice on 1 November 2016. The overall rating for this service is good.

Our key findings across all the areas we inspected were as follows:

  • There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
  • Information about patient safety alerts was reviewed and communicated to staff by the practice manager.
  • Although clinical audits and patient searches were carried out and improvements made to enhance patient care, repeat audit cycles were not completed to demonstrate that changes made were effective.
  • Risks to patients were assessed and well managed through practice meetings and collaborative discussions with the multi-disciplinary team. Patients’ needs were assessed and care was planned and delivered following best practice guidance.
  • Patients told us they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • The practice had good facilities and was well equipped to treat patients and meet their needs. This included easy access for patients who used wheelchairs and baby changing facilities.
  • Information about services and how to complain was available and easy to understand. Patients told us that they knew how to complain if they needed to.
  • There was a clear leadership structure and staff told us they felt supported by management. The practice proactively sought feedback from patients, which it acted on. Staff appeared motivated to deliver high standards of care and there was evidence of team working throughout the practice.

The areas where the provider should make improvements are:

  • Take action to ensure the system put in place for monitoring of uncollected prescriptions is fully implemented.
  • Carry out clinical audits with re-audits to ensure improvements to patient outcomes are monitored and evaluated for their effectiveness.


Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice