We carried out an announced inspection at Cranbrook Surgery on 24 February 2020. The practice was rated Good in all key questions except for key question Well-led, which was rated requires improvement. At this inspection breaches of regulatory requirements were identified and the practice was issued with a requirement notice under Regulation 17 (Good governance) of the Health and Social Care Act (Regulated Activity) 2014.
Following our inspection in February 2020, we conducted a desk-top review of key question Well-led at Cranbrook Surgery on 1 September 2021. This review was conducted remotely without a site visit.
Overall, the practice is rated as good.
The rating for key question Well-led following this review is as follows:-
Well-led - Good
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Cranbrook Surgery on our website at www.cqc.org.uk
Why we carried out this review
This desktop review was carried out to confirm that the practice had made improvements on the areas that we had identified at our last inspection. This report covers our findings in relation to those improvements.
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 inspections differently.
This inspection was carried out in a way which enabled us to obtain infomation from the provider to allow us to conduct the review remotely.
This included:
- Conducting staff interviews using telephone conferencing.
- Requesting evidence from the provider.
Our findings
We based our judgement of the quality of care at this service on a combination of:
- Information from our ongoing monitoring of data about services.
- Information from the provider, patients, the public and other organisations.
We have rated this practice as Good and good for all population groups.
We found that:
- The practice had embedded systems to ensure policies and processes were in place to facilitate the delivery of good quality care.
- The practice undertook regular clinical audits and quality improvement activities.
- There were arrangements in place for identifying, mitigating and managing risk within the practice.
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