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Review carried out on 8 July 2021

During a monthly review of our data

We carried out a review of the data available to us about Beechcroft Surgery on 8 July 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 Beechcroft Surgery, you can give feedback on this service.

Inspection carried out on 30 Jul to 30 Jul 2019

During an inspection looking at part of the service

We decided to undertake an inspection of this service on 30th July 2019 following our annual review of the information available to us. This inspection looked at the following key questions; are services safe, effective and well-led. During our annual regulatory review, we assessed that the ratings for caring and responsive services had stayed the same and are therefore rated as good. The practice was previously inspected in May 2016 and rated as good overall.

Our judgement of the quality of care at this service is based 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.

This means that:

  • Patients had good outcomes because they received effective care and treatment that met their needs.
  • People were protected from avoidable harm and abuse and legal requirements were met.
  • The practice was fully engaged with reviewing and monitoring the clinical services they offered and used this information to make changes and drive care.
  • Patients were supported, treated with dignity and respect and were involved as partners in their care. The comment cards we received were wholly positive about the service provided.
  • Outcomes for patients in relation to childhood immunisations were above CCG and England averages.
  • There were effective governance structures in place, including risk assessments, policy reviews and good oversight of the training of staff.
  • The induction process was flexible to meet the needs of new staff. It included regular competency reviews, shadowing sessions and full mandatory training provision.
  • The leadership, governance and culture of the practice promoted the delivery of high-quality person-centred care.
  • The practice encouraged continuous improvement and innovation. For example, the practice had encouraged further learning and had encouraged nurses to complete prescribing training.
  • Staff reported they were happy and proud to work in the practice.

Details of our findings and the evidence supporting our ratings are set out in the evidence table.

Dr Rosie Benneyworth BS BM BMedSci MRCGP
Chief Inspector of General Practice

Inspection carried out on 8 April 2016

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

 We carried out an announced focused inspection of Beechcroft Surgery on 8 April 2016. This inspection was undertaken to follow up a requirement notice we issued to the provider at our previous inspection of 15 December 2016 as they had failed to comply with the law in respect of providing safe care and treatment for patients, specifically in respect of safeguarding service users from abuse and improper treatment. 

We undertook this focused follow up inspection to check that they had followed their action plan to address the shortfalls and to confirm that they now met legal requirements. This report only covers our findings in relation to this requirement. You can read the report from our last comprehensive inspection, by selecting the ‘all reports' link for on our website at www.cqc.org.uk.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 15 December 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Beechcroft Surgery on 15 December 2015. Overall the practice is rated as good.

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

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.

  • The arrangements for managing medicines, including emergency drugs and vaccinations, in the practice kept patients safe.

  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.

  • Information about services and how to complain was available and easy to understand.

  • Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.

  • The practice had good facilities and was well equipped to treat patients and meet their needs.

  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.

The areas where the provider must make improvement are:

  • That the practice undertakes a full risk assessment if staff are to undertake chaperone duties without a DBS check in place.

The areas where the provider should make improvement are:

  • To track blank prescription forms through the practice in accordance with national guidance.

  • To implement the recommendations from the legionella risk assessment completed in 2013

  • To implement regular safeguarding meetings with relevant professionals to discuss children and vulnerable adults on the practice’s patient list.

  • To ensure that all clinicians working at the practice are registered with the appropriate professional body.

  • To monitor vaccine fridge temperatures to ensure that the integrated thermometer is working correctly.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice