- GP practice
Newton Surgery
All Inspections
30 September 2022
During a routine inspection
We carried out an announced comprehensive inspection at Newton Surgery on 29 and 30 September 2022. Overall, the practice is rated as good/requires improvement.
Safe - good
Effective - good
Caring - good
Responsive - good
Well-led - good
Following our previous inspection on 12 April 2016, the practice was rated good overall and for all key questions.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Newton Surgery on our website at www.cqc.org.uk
Why we carried out this inspection
We carried out this inspection in line with our inspection priorities. This was due to the length of time since our last inspection.
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 using video conferencing.
- Completing clinical searches on the practice’s 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.
- Staff questionnaires.
- 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:
- 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 understood the needs of the local population and took steps to improve services for these patients. For example, a consultant led diabetes service and in-house services such as young person’s drop in clinic for contraception, smoking cessation and social prescribing service.
- The practice had been approved as a training practice and was due to support second year medical students from January 2023.
- The way the practice was led and managed promoted the delivery of high-quality, person-centred care.
Whilst we found no breaches of regulations, the provider should:
- Introduce fire drills to support staff to safely evacuate the building in the event of a fire.
- Improve medication review process to capture ongoing discussion and documentation of any risks associated with medication prescribed as identified in historic and current safety alerts.
- Review and improve clinical coding and recording keeping for asthma patients.
- Make arrangements for staff to have access to an external Freedom to Speak Up Guardian.
- Continue to carry out disclosure and barring service (DBS) checks for all staff annually.
- Update registration with the Care Quality Commission to reflect changes in partnership.
- RESPECT forms were used to record discussions and decisions on the do not attempt cardiopulmonary resuscitation (DNACPR) forms. However, there was no system in place to ensure the decision was reviewed annually to ensure this was still accurate.
12 April 2016
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Newton Surgery on 12 April 2016. 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.
- Risks to patients were assessed and well managed.
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
- Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
- Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
- The provider was aware of and complied with the requirements of the duty of candour.
The areas where the provider should make improvement are:
- Carry out staff appraisals annually.
- Monitor performance against the infection prevention and control action plan.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice