We carried out a review of the data available to us about Cranes Park Road Surgery on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Cranes Park Road Surgery, you can give feedback on this service.
We previously carried out an announced comprehensive inspection at Cranes Park Road Surgery on 25 May 2016. The overall rating for the practice was good but rated as requires improvement for providing effective services.
The full comprehensive report on the May 2016 inspection can be found by selecting the ‘all reports’ link for Cranes Park Road Surgery on our website at www.cqc.org.uk.
On 28 July 2017 we carried out a desk-based focused review to confirm that the practice had carried out their plan to address the areas we identified as requiring improvement at our previous inspection on 25 May 2016. This report covers our findings in relation to those requirements.
Our key findings were as follows:
The practice had implemented a logging system for prescriptions. Patient records were updated when medicines were changed, and there was a system for repeat prescriptions which included reviews of patients’ medicines.
The practice provided evidence of a programme of continuous audit. There was evidence of improved outcomes for patients, for example increased vaccinations for patients with chronic lung disease.
The practice had implemented a more comprehensive recall system for patients with long-term conditions. The practice had worked with the local Clinical Commissioning Group (CCG) information technology team to make changes to the recall process.
The practice had taken action to review the process for increasing the uptake of childhood immunisations. This included reviewing patient notes where immunisations were not carried out, a detailed check of practice data, contacting parents or guardians of children not attending for their immunisations, and implementing improved data handling and sharing procedures.
Child immunisation rates had improved. The practice had vaccinated 99% of children aged up to two years compared with the national average of 91%. 83% of children aged five years had received vaccinations which was the same as the CCG average of 83%.
The practice had reviewed confidentiality in the reception area and had implemented some changes. This included providing staff training on confidentiality, providing access to a private room, introducing online appointments booking and prescription ordering, and transferring telephone calls to an office away from the reception area.
The practice is now rated as good for providing effective services.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Cranes Park Road Surgery on 25 May 2016. Overall the practice is rated as good.
Our key findings were as follows:
Staff understood and fulfilled their responsibilities to raise concerns and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
Patients’ needs were assessed and care was planned and delivered following best practice guidance. The GP partner ensured that they had regular educational meetings with other practices to share good practice.
There was a clear leadership structure and staff felt supported by the GP and the deputy practice manager. The practice proactively sought feedback from staff and patients which it acted on. There was a very pro-active Patient Participation Group (PPG) and we met with two members during the inspection.
The practice was aware of and complied with the requirements of the duty of candour. (The duty of candour is a set of specific legal requirements that providers of services must follow when things go wrong with care and treatment).
Risks to patients were assessed and well managed.
Patients described staff as helpful, respectful and caring. Patients commented that they were treated with dignity and respect.
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.
However, there were areas of practice where the provider should make improvements:
The provider should:
Implement a programme of continuous audit to complete audit cycles and gauge the effectiveness of the improvements it makes.
Take action to review the process for recalling patients who have long-term conditions, to ensure all patients are included and that any refusal is followed up and documented.
Take action to review the process for increasing the uptake of childhood immunisations.
Review the system to log prescriptions to ensure their usage is monitored effectively.
Review confidentiality in reception.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice