Greensward Surgery

We carried out an announced inspection at Greensward Surgery on 20 April 2022. Overall, the practice is rated as Good.

The ratings for each key question are as follows;

Safe - Good

Effective - Good

Well-led - Good

Following our previous inspection on 18 February 2016 the practice was rated Good overall and for providing safe, caring, responsive and well-led services. It was rated outstanding for providing effective services.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Dr Biju Kuriakose on our website at www.cqc.org.uk

Why we carried out this inspection/review

This inspection was a focused inspection undertaken as part of our inspection programme.

How we carried out the inspection/review

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:

• 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
• Staff questionnaires

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 have rated this practice as Good overall

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.
• There were effective arrangements to identify and manage risks.
• Staff dealt with patients with kindness and respect and involved them in decisions about their care.
• The practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic. 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.
• There was a clear leadership structure and staff felt supported by management.
• Staff knew and understood the vision and values attributed to care and treatment at the practice.

Whilst we found no breaches of regulations, the provider should:

• Improve the process of recording staff immunisations as required in the Immunisation Against Infectious Diseases, the 'Green Book'.
• Continue to review the recruitment policy in line with guidance.
• Continue to review and improve performance for the prescribing of anti-microbials.
• Continue to improve the recording of test results on the patient records.
• Continue to improve the uptake of breast cancer screening.

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