The Care Quality Commission
  • Doctor
  • GP practice

Lakeside Surgery Also known as Alliance Primary Care Limited

Overall: Good read more about inspection ratings

Goldthorpe Green, Goldthorpe, Rotherham, South Yorkshire, S63 9EH (01709) 886360

Provided and run by:
Alliance Primary Care Limited

All Inspections

During an assessment under our new approach

Lakeside Surgery is an NHS GP practice which provides primary care services to patients in the Barnsley area of South Yorkshire. Lakeside Surgery is operated by Alliance Primary Care Ltd, who took over the GP contract and operating of primary care services in April 2019. We carried out an announced assessment of one quality statement, equity of access, under the key question Responsive at Lakeside Surgery on the 21 February 2024. We carried out the assessment as part of our work to understand how practices are working to try to meet peoples demands for access and to better understand the experiences of people who use services and providers. 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 carrying this out whilst the demand for general practice remains exceptionally high, with more appointments being provided than ever. However, in this challenging context, access to general practice remains a concern for people. Our strategy makes a commitment to deliver regulation driven by people’s needs and experiences of care. The assessment of the quality statement equity of access includes looking at what practices are doing innovatively to improve patient access to primary care and sharing this information to drive improvement. Overall, the practice is rated as good and the key question responsive continues to be rated as providing a good service. We found that since taking over the practice in 2019, the Alliance had sought to understand the pressures and challenges in respect of access for patients and were continuing to develop and implement plans to improve. The practice organised services to meet patients’ needs, particularly those who were most likely to have difficulty accessing care. The practice sought out and used feedback and other data/information to monitor and improve access.

11 November 2021

During a routine inspection

We carried out an inspection of Lakeside Surgery on 8 and 11 November 2021. Overall, the practice is rated as good. The rating for each key question is:

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 Lakeside Surgery, as part of our inspection programme as a new provider registration for the service. This was a first rated inspection for the service that was registered with the Care Quality Commission (CQC) in June 2020.

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 video and telephone 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.
  • Requesting staff to complete a short questionnaire.
  • 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 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.
  • The practice obtained consent to care and treatment in line with legislation and guidance although documentation of DNACPR decisions required review.
  • 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-centred care.

Whilst we found no breaches of regulations, the provider should:

  • Review the Do Not Attempt CPR (DNACPR) process and ensure it is in line with current legislation with regard to recording capacity of the patient to provide consent.
  • Continue to ensure staff vaccination status is known and maintained in line with current Public Health England guidance.

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