29 May to 29 May 2018
During a routine inspection
This practice is rated as Good overall. (Previous inspection 16 September 2015 – Requires Improvement).
The key questions are now rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
We carried out an announced comprehensive inspection of Phoenix Surgery on 11 January 2017. Overall the practice was rated as requires improvement. The comprehensive report for the January 2017 inspection can be found by selecting the ‘all reports’ link for Phoenix Surgery on our website at www.cqc.org.uk.
Following the inspection on 11 January 2017, the provider sent us an action plan that set out the actions they would take to meet the breached regulations. We then carried out an announced follow-up comprehensive inspection at Phoenix Surgery on 29 May 2018, to confirm the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 11 January 2017.
This report covers the announced follow-up comprehensive inspection on 29 May 2018. We found the provider had made improvements since our inspection on 11 January 2017. The information we received enabled us to find the provider was meeting the regulations that it had previously breached for safe, effective and well-led services.
At this inspection we found:
- The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
- The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
The areas where the provider should make improvements are:
- The provider should continue to make efforts to increase the programme coverage of women eligible to be screened for cervical cancer.
- The provider should review arrangements for registering patients with diabetes, and increasing awareness and uptake of childhood immunisation vaccinations, so that these indicators are comparable with key indicators.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice