Robin Hood Surgery

We carried out an announced comprehensive at Robin Hood Surgery between 20-24 November 2023. Overall, the practice is rated as requires improvement.

Safe – good

Effective – requires improvement

Caring - good

Responsive - requires improvement

Well-led - good

Following our previous inspection on 3 October 2016 the practice was rated good overall and for all key questions. The full report for previous inspections can be found by selecting the ‘all reports’ link for Robin Hood Surgery on our website at www.cqc.org.uk

Why we carried out this inspection

We carried out this inspection in line with our inspection priorities.

This was a comprehensive inspection to review the following domains:

• Safe
• Effective
• Caring
• Responsive
• Well Led

How we carried out the inspection

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 found that:

• The practice provided care in a way that kept patients safe and protected them from avoidable harm.
• Clinical searches identified medication reviews were undertaken appropriately.
• Patients were not always having the required monitoring.
• Staff were not always completing role specific training.
• Staff were positive about working at the practice.
• 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 way the practice was led and managed promoted the delivery of high-quality, person-centre care.

We found a breach of regulations. The provider must:

• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

The provider should:

• Continue to take action to implement having an active PPG.
• Take steps to review existing procedure for undertaking fire drills.
• Take action to improve the identification of carers and support offered to them.
• Review and analyse patient access to appointments.

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 Health Care