The Care Quality Commission
  • Doctor
  • GP practice

Dr T Crawford & Partners Also known as Greenview Surgery

Overall: Requires improvement read more about inspection ratings

129 Hazeldene Road, Northampton, Northamptonshire, NN2 7PB (01604) 791002

Provided and run by:
Dr T Crawford & Partners

All Inspections

29 September 2023

During a routine inspection

We carried out an announced comprehensive inspection at Dr T Crawford & Partners, also known as Greenview Surgery on 29 September 2023. Overall, the practice is rated as . requires improvement.

Safe - good

Effective - requires improvement,

Caring – requires improvement

Responsive – requires improvement

Well-led - good

Following our previous inspection on 14 June 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 Dr T Crawford & Partners 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.

How we carried out the inspection/review

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:

  • Patients’ needs were not always assessed fully and current guidance was not always followed.
  • Patients did not always receive appropriate long-term condition reviews.
  • The uptake for immunisations for children aged 5 years was below the minimum target set by the World Health Organisation.
  • The uptake for cervical screening was below the 80% target set by the UK Health Security Agency.
  • National GP patient survey data relating to patient satisfaction with the service was below local and national averages in some areas. The practice had taken actions to make improvements. However, the impact of these changes had not been assessed.
  • Staff dealt with patients with kindness and respect.
  • The practice had taken actions to improve the way 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.
  • Staff reported they felt supported by the GPs and practice management.

We found 1 breach of regulations. The provider must:

  • Ensure care and treatment is provided in a safe way to patients.

The areas where the provider should make improvements are:

  • Continue to take measures to improve the uptake of childhood immunisations and cervical screening.
  • Continue to take actions to improve patient satisfaction in relation to involving patients in their care and treatment and access and appointment booking.

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

14 June 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Crawford and partners on 14 June 2016. 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 and staff demonstrated an awareness and involvement in the process.
  • Risks to patients were assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with 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. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients said they found it easy to make an appointment with a named GP and there was continuity of care and patients could access urgent appointments on the same day without difficulty.
  • 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:

  • To carry out regular formal audits to demonstrate monitoring of infection control.
  • To introduce a formal induction checklist to clearly show all topics undertaken at induction including training.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice