The Care Quality Commission
  • Doctor
  • GP practice

The Marshside Surgery

Overall: Good read more about inspection ratings

117 Fylde Road Industrial Estate, Fylde Road, Southport, PR9 9XP (01704) 505555

Provided and run by:
Dr Robert Richard Caudwell

Important: The provider of this service changed. See old profile

All Inspections

During an assessment under our new approach

We carried out an announced assessment of one quality statement, equity of access, under the key question responsive at The Marshside Surgery on the 18 March 2024. Responsive assessments are remote focused reviews to help us understand what practices are doing to try to meet patient demand and the current experience of people who use these services and of providers. The responsive key question is still rated as good. The service remains rated as good overall. 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 doing this while demand for general practice remains exceptionally high, with more appointments being provided than ever. In this challenging context, access to general practice remains a concern for people. These assessments of the quality statement equity in access in the responsive key question include looking at what practices are doing innovatively to improve patient access to primary care and sharing this information to drive improvement. At this assessment we found: People can access services when they need to, without physical or digital barriers, including out of normal hours and in an emergency. People are given support to overcome barriers to ensure equal access. The practice understood the challenges to patient access and responded to patient needs.

17 and 21 June 2022

During a routine inspection

We carried out an announced inspection at The Marshside Surgery on 17 and 21 June 2022. Overall, the practice is rated as Good.

Set out the ratings for each key question

Safe - Good

Effective - Good

Caring - Good

Responsive - Good

Well-led - Good

Why we carried out this inspection

This inspection was a comprehensive inspection that included a site visit. The inspection was undertaken as a first inspection for this registered provider. A previous inspection had been carried out on 3 November 2016 at the practice but under a GP partnership (that included the current provider) which was a different legal entity. This inspection was therefore the first inspection for the current registered provider as a single handed provider.

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 that 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
  • 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
  • Staff feedback surveys

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 overall.

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:

  • Introduce a formalised process for supervising non-medcal prescribers.

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