We carried out an announced inspection at Grangewood Surgery on 10 and 18 October 2022. Overall, the practice is rated as Good.
The ratings for the key questions are:
Safe - Good
Effective - Good
Caring - not inspected, rating of good carried forward from previous inspection
Responsive - not inspected, rating of good carried forward from previous inspection
Well-led - Good
At our previous inspection of 5 January 2016, the practice was rated good overall and for all of the key questions of safe, effective, caring, responsive and well-led.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Grangewood Surgery on our website at www.cqc.org.uk
Why we carried out this inspection
We undertook this inspection as part of a random selection of services rated Good and Outstanding to test the reliability of our new monitoring approach.
How we carried out the inspection/review
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 have rated this practice as Good overall
We found that:
- Patients were protected by a strong safety system, with a focus on openness and transparency.
- There were comprehensive systems in place to keep patients safe, which take into account current best practice.
- There was a proactive approach to anticipating and managing risks. Innovation was encouraged to achieve sustained improvements.
- 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 leadership governance and culture at the practice were improving the delivery of high-quality, community focused, person-centred care.
- There were high levels of staff satisfaction. Staff were proud of the organisation and there were high levels of staff engagement. Leaders endeavoured to motivate staff.
- There was a proactive approach to seeking new ways to provide care and treatment.
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 Hospitals and Interim Chief Inspector of Primary Medical Services