8 December 2023
During an inspection looking at part of the service
We carried out an unannounced focused inspection at Croston Village Surgery on 8 December 2023. We did not award a rating as we did not inspect the whole of the domains.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Croston Village Surgery on our website at www.cqc.org.uk
Why we carried out this inspection
This was a focused inspection following information of concern and risk identified by the Care Quality Commission. We looked at specific information in the following key questions:
- Safe – inspected not rated
- Effective – inspected not rated
- Responsive - inspected not rated
- Well-led – inspected not rated
How we carried out the inspection
This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.
This included:
- Conducting staff interviews
- Completing clinical searches on the practice’s electronic patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
- Reviewing patient records to identify issues and clarify actions taken by the provider.
- Requesting evidence from the provider.
- A short site visit.
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:
- Since our last inspection the practice had merged with another practice and a new partnership had begun. Systems and processes, roles and responsibilities were in the process of review.
- Patients received effective care and treatment that met their needs.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
- Further work was required to embed governance systems and oversight of non-clinical risk into everyday practice.
Whilst we found no breaches of regulations, the provider should:
- Improve advice given to patients about benzodiazepine drugs.
- Improve governance arrangements for managing incidents and complaints.
- Continue to train, support and supervise staff.
- Improve the processes for managing non-clinical risks, issues and performance.
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 Health Care