- GP practice
The Surgery
All Inspections
26/02/2020
During a routine inspection
We carried out an announced comprehensive inspection at The Surgery on 26 February 2020 as part of our inspection programme. The practice is also known as Holes Lane Surgery and there is a branch practice called Manchester Road Branch.
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 received eight CQC feedback cards given to patients before and during the inspection. Comments made by patients were positive about the services provided and the practice staff.
We have rated this practice as good overall. We have rated all population groups as good.
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:
- Work with other health and social care professionals to regularly discuss safeguarding concerns for patients identified as being at risk.
- Review the emergency medicines held and ensure an appropriate risk assessment has been carried out if required.
- Work towards proactively identifying patients who are carers to provide appropriate information, support and care.
- Display information about the complaints procedure clearly at both practices.
- Regularly assess and review risks regarding premises, security, health and safety for both sites.
- Continue to work towards engaging patients to join a patient participation group.
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