We carried out an announced inspection at Green Lane Surgery on 24 June 2022. Overall, the practice is rated as Good.
Ratings for each key question
Safe - Good
Effective - Good
Caring - Good
Responsive - Good
Well-led - Good
Why we carried out this inspection
We carried out an announced comprehensive inspection at Green Lane Surgery as part of our inspection programme and to provide a rating for the service, as it had not been inspected before.
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 the telephone/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
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 had procedures in place to safeguard vulnerable patients, and all staff we spoke with were trained and understood safeguarding processes and actions they would need to take where patients were at risk of harm.
- The practice provided care to patients in a way that kept them safe from avoidable harm.
- Staff were supported in their roles and told us they were involved in decisions about the practice.
- Patients received care and treatment that effectively met their needs.
- Patients were supported with kindness and respect and made decisions about their care and treatment.
- 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 managed promoted the delivery of high-quality person-centre care.
- The practice had a complaints procedure in place which enabled patients to raise concerns they had. We saw complaints were logged and used to improve patient care.
- The practice demonstrated they understood the challenges to providing high quality patient care.
- Staff we spoke with told us the practice was open and honest and they could raise any concerns they had. We also saw there was a whistle blowing policy in place that staff were aware of and knew its purpose.
- The practice had policies in place to support good patient care and lessons were learnt from accidents, incidents and significant events.
- The practice worked collaboratively with other professionals and clinicians to develop systems and share best practice.
- The practice had systems in place to monitor how the practice performed to meet expected targets.
Whilst we found no breaches of regulations, the provider should:
- Continue to increase the uptake of childhood immunisations.
- Continue to increase the uptake for cervical, breast and bowel cancer screening.
- Continue to improve patient satisfaction in relation to patient surveys results.
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