We carried out an announced comprehensive inspection at Dorchester Road Surgery on 17 November 2022. We inspected three key questions: Safe, Effective and Well-led. Ratings for Caring and Responsive were carried forward from the previous inspection in December 2016. Overall, the practice is rated as good
We have rated the domains as:
Safe - good
Effective - good
Caring - Not inspected, rating of Good carried forward from a previous inspection (2016)
Responsive - Not inspected, rating of Outstanding carried forward from a previous inspection (2016)
Well-led - good
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Dorchester Road Surgery on our website at www.cqc.org.uk
We inspected three key questions: Safe, Effective and Well-led. Ratings for Caring and Responsive were carried forward from the previous inspection.
How we carried out the inspection
Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.
This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.
This included:
- Conducting staff interviews using video conferencing
- Completing clinical searches on the practice’s patient records system and discussing findings with the provider
- Reviewing patient records to identify issues and clarify actions taken by the provider
- Requesting evidence from the provider
- A short site visit
- A Staff Questionnaire
Our findings
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 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.
- 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.
- The practice routinely reviewed the effectiveness and appropriateness of the care provided.
Whilst we found no breaches of regulations, the provider should:
- Complete infection control training for all staff.
- Continue to improve the uptake of cervical screening.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services