The Care Quality Commission
  • Doctor
  • GP practice

The Lakeside Practice

Overall: Good read more about inspection ratings

White Wings Centre, Askern, Doncaster, South Yorkshire, DN6 0HZ (01302) 700212

Provided and run by:
The Lakeside Practice

All Inspections

During an assessment under our new approach

The Lakeside Practice is an NHS GP practice which provides primary care services to patients in the Doncaster area of South Yorkshire. We carried out an announced assessment of one quality statement, equity of access, under the key question Responsive at The Lakeside Practice on the 26 February 2024. We carried out the assessment as part of our work to understand how practices are working to try to meet peoples demands for access and to better understand the experiences of people who use services and providers. We recognise the work that GP practices have been engaged in to continue to provide safe, quality care to the people they serve. We know staff are carrying this out whilst the demand for general practice remains exceptionally high, with more appointments being provided than ever. However, in this challenging context, access to general practice remains a concern for people. Our strategy makes a commitment to deliver regulation driven by people’s needs and experiences of care. The assessment of the quality statement equity of access includes looking at what practices are doing innovatively to improve patient access to primary care and sharing this information to drive improvement. Overall, the practice is rated as good and the key question responsive continues to be rated as providing a good service. We found that the practice had organised services to meet patients’ needs, including those who were most likely to have difficulty accessing care, so that people can access care, treatment and support when they need it and in a way that works for them. The practice sought out and used feedback and other data/information to monitor and improve access.

3 and 4 October 2022

During a routine inspection

We carried out an announced inspection at The Lakeside Practice on 3 and 4 October 2022. Overall, the practice is rated as Good.

Safe - Good

Effective - Good

Caring - Good

Responsive - Good

Well-led - Good

Following our previous inspection on 26 January 2016, the practice was rated Good overall and for all key questions.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for The Lakeside Practice on our website at www.cqc.org.uk

Why we carried out this inspection

We carried out a comprehensive inspection due to the length of time since we last inspected the provider (over five years).

How we carried out the inspection

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 spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included:

  • Conducting staff interviews using video conferencing and completing electronic questionnaires
  • Completing clinical searches on the practice’s patient records system and discussing findings with the provider
  • 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 have rated this practice as Good

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • 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.
  • The practice adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic. 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.

Whilst we found no breaches of regulations, the provider should:

  • Complete staff appraisals.
  • Review historic safety alerts and take steps to ensure all necessary actions are taken.
  • Continue with plan to minute meetings for future reference and ensure all staff have access to information if unable to attend.
  • Develop a policy to monitor pathology results more effectively.

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 Hospitals and Interim Chief Inspector of Primary Medical Services

26 January 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Lakeside Practice on 26 January 2015. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand.
  • Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the Duty of Candour.

The areas where the provider should make improvement are:

  • Ensure all staff complete relevant safeguarding training for children as recommended in the Safeguarding Children and Young people: roles and competences for health care staff Intercollegiate document (Third edition: March 2014).
  • The number of repeat prescription issues should be reviewed so they are in line with annual reviews.
  • Written complaint responses should refer to the Parliamentary Health Service Ombudsman for people to refer to if they were not satisfied with their response.
  • The training passport should detail the frequency of update training staff needed to attend.

Professor Steve Field CBE FRCP FFPH FRCGP 

Chief Inspector of General Practice