We carried out an announced review at Langport Surgery on 23 June 2021. Overall, the practice is rated as good.
Following our previous inspection on 10 March 2020 the practice was rated Good overall and for all key questions, except for the effective key question and the long-term condition and people experiencing poor mental health population groups which were rated as requires improvement.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Langport Surgery on our website at www.cqc.org.uk
Why we carried out this review
This was a follow up review of concerns identified in the 2020 inspection.
The focus of this review was:
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To review the services provided to people with long-term conditions and the outcomes for these patients using the Quality and Outcomes Framework (QOF) performance.
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To review the services provided to people experiencing poor mental health the outcomes for these patients using the Quality and Outcomes Framework (QOF) performance.
How we carried out the 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 reviews differently.
This review was carried out off site. This was with consent from the provider and in line with all data protection and information governance requirements.
Our approach included:
- Conducting staff interviews using tele-conferencing
- Reviewing performance data available at the time of our inspection.
Our findings
We based our judgement of the quality of care at this service on a combination of:
- what we found when we undertook our review
- 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 and good for the long-term condition and people experiencing poor mental health population groups.
We found that:
- Patients with long-term conditions and people experiencing poor mental health had their needs assessed and their care and treatment was delivered in line with current legislation, standards and evidence-based guidance supported by clear pathways and tools.
- Throughout the pandemic, patients with long-term conditions were recalled as appropriate. Patients were proactively contacted using text messages and through personal contact from healthcare assistants and clinical staff. Patients were opportunistically contacted to carry out reviews.
- Face-to-face appointments were offered when clinically necessary.
- The practice worked in a multidisciplinary manner to ensure that patient needs were met. Staff worked proactively with the local Primary Care Network (PCN) to increase access to a range of services, including access to health coaches and mental health practitioners.
Whilst we found no breaches of regulations, the provider should:
- Continue to monitor and improve personalised care adjustments for patients with diabetes.
- Continue to monitor and improve performance in relation to hypertension indicators.
- Continue to take action to increase the uptake of cervical 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