We carried out an announced comprehensive inspection at Dapdune House Surgery on 23 October 2019 as part of our inspection programme.
We had previously carried out an announced comprehensive inspection at Dapdune House Surgery in October 2014. The practice was last rated as Good overall and Good in all domains. All of the practices’ previous reports can be found by selecting the ‘all reports’ link for Dapdune House Surgery on our website www.cqc.org.uk
We carried out an inspection of this service due to the length of time since the last inspection. Following our review of the information available to us, including information provided by the practice, we focused our inspection on the following key questions:
- Is it Safe
- Is it Effective
- Is it Caring
- Is it Responsive
- Is it Well led
We have rated this practice as good overall and in all of the key questions. They have been rated as good overall for all population groups.
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 rated the practice good for providing safe, effective, caring, responsive and well-led care because:
- 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 organised and delivered services to meet patients’ needs.
- 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.
- There was a clear leadership structure and staff felt supported by management.
- Staff worked well together as a team and all felt supported to carry out their roles. There was a strong team ethos and culture of working together for a common aim.
Whilst we found no breaches of regulations, the provider should:
- Review and continue to monitor cervical smear screening to meet the Public Health England screening rate target.
- Review and continue to monitor child immunisation rates to meet World Health Organisation (WHO) targets.
- Review if minutes of the Business Area meetings would be beneficial to record and send to all staff
- Review the contract for the external cleaning company in the storage of cleaning equipment
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