5 July 2023
During a routine inspection
We carried out an announced comprehensive inspection at Old Hall Surgery on 5 July 2023. Overall, the practice is rated as good.
Safe - good
Effective - good
Caring - good
Responsive - good
Well-led - good
Why we carried out this inspection
We carried out this inspection in line with our inspection priorities.
We inspected the key questions of:
Safe, effective, caring, responsive and well-led.
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.
- 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.
- 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:
- Continue to embed systems and processes for managing risks and safeguarding.
- Review the management of patient records to demonstrate medication reviews and information provided to patients during consultations.
- Take action to address monitoring and follow up action required for patients with long term conditions.
- Continue to monitor and improve the uptake of cervical screening and childhood immunisations.
- Continue to ensure all Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) documentation is held and up to date.
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