Archived: Ledbury Market Surgery

We carried out an announced comprehensive inspection at Ledbury Market Surgery on 8 October 2019 as part of our inspection programme.

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 and good for all population groups.

We found that:

• The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
• The practice provided care in a way that kept patients safe and protected them from avoidable harm.
• There were clearly defined systems, processes and practices in place to keep people safe and safeguarded from abuse and for identifying and mitigating risks of health and safety.
• For patients with the most complex needs GPs worked with other health and care professionals to deliver a coordinated package of care.
• Urgent same day patient appointments were available when needed. All patients who completed comment cards before our inspection said they were able to obtain same day appointments and access care when needed.
• 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.
• Patients with long-term conditions had a structured annual review to check their health and medicines needs were being met.
• Results from the national GP patient survey revealed a high level of patient satisfaction about the care given at the practice which was either in-line with or above local and national averages. For example, 95% of patients who responded said that the last time they had a general practice appointment, the healthcare professional was good or very good at treating them with care and concern and 100% had confidence and trust in the healthcare professional they saw or spoke to.
• There were comprehensive policies and procedures to support best practice.
• There were clear responsibilities, roles and systems of accountability to support effective governance.

The areas where the provider should make improvements are:

• Continue to identify carers, developing and improving the support available to them as set out in the service action plan.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGPChief Inspector of Primary Medical Services and Integrated Care