We carried out an announced comprehensive inspection at Almondsbury Surgery on 24 January 2019 as part of our inspection programme.

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 and good for all population groups.

We found that:

• The practice provided care in a way that kept patients safe and protected them from avoidable harm.
• This was a strong, visible person-centred service where staff were motivated and inspired to offer care that was kind and promoted.
• Patients received effective care and treatment that met their needs. The practice operated a named GP patient list and patients were encouraged to book with their named GP for continuity of care.
• Staff dealt with patients with kindness and respect and involved them in decisions about their care. 100.0% of respondents in the GP patient survey who stated that during their last GP appointment they had confidence and trust in the healthcare professional they saw or spoke to (01/01/2018 to 31/03/2018).
• They worked in partnership with patients to develop services. Feedback from patients was consistently positive with the National GP Survey results consistently above the local and national averages.
• The practice had a strong community presence, the practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way through an accessible appointment system same day appointment access on weekday mornings up until 10:30am to anyone registered at the practice. This had a positive impact on the availability of routine appointments which were usually available within three days.
• 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:

• Take action to protect the integrity of the emergency medicine and equipment.
• Continue to monitor mandatory training updates are completed and specifically for safeguarding.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice