This practice is rated as good overall. (Previous rating August 2015 -Good)
The key questions are rated as:
Are services safe? – Requires Improvement
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
We carried out an announced comprehensive inspection at Surrey Lodge Group Practice on 6 June 2018. This inspection was carried out under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
At this inspection we found:
- The practice had experienced a change in leadership within the last two years. The practice recruited a new practice manager in August 2017 to lead and support the team to provide a safe and effective service.
- The new management team identified several areas of improvement and implemented a comprehensive plan to improve and develop the practice and service delivery.
- This inspection identified many areas where changes had been implemented and a plan was in place to continue with the implementation of improvements.
- Areas requiring further development including implementing health and safety risk assessments and systems of staff training and support.
- The practice had clear systems to manage safety incidents. 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 could 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 must make improvements as they are in breach of regulations are:
- Ensure care and treatment is provided in a safe way to patients.
The areas where the provider should make improvements are:
- Continue to identify and support patients who are also carers.
- Review the reception area to seek solutions to improve patient privacy.
- Continue with the planned programme to establish the patient participation programme.
- Continue to implement the strategy to improve achievement in cervical cytology.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice