We carried out an announced comprehensive inspection at Goodrest Croft Surgery on 22 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.
• Patients received effective care and treatment that met their needs.
• Feedback from patients was positive, satisfaction results were consistently higher than average for providing care, for access to services and for mental health care.
• The practice organised and delivered services to meet patients’ needs.
• The practice ensured that reasonable adjustments were made for patients that required them and patients could access care and treatment in a timely way.
• The practice team promoted the delivery of high-quality, person-centre care and maximised the use of their systems and processes to continually improve.
• There were some innovative approaches to providing integrated person-centred care. This was reflected in the practices approach to diabetes care.

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

• Continue to explore ways of improving uptake of breast and bowel cancer screening programmes.

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

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Goodrest Croft Surgery on 15 July 2015. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing safe, effective, caring, responsive and well led services. It was also good for providing services for the six population groups (older people, people with long-term conditions, families, children and young people, working age people (including those recently retired and students), people whose circumstances may make them vulnerable and people experiencing poor mental health (including people with dementia).

Our key findings across all the areas we inspected were as follows:

• Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
• Risks to patients were assessed and well managed.
• Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
• Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
• Information about services and how to complain was available and easy to understand.
• Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
• The practice had good facilities and was well equipped to treat patients and meet their needs.
• There was a clear leadership structure and staff felt supported by management.

However there were areas of practice where the provider needs to make improvements.

Importantly the provider should:

• Improve reporting of significant incidents to ensure they are documented in detail and actions required are clear.
• Ensure audits complete their full audit cycle in order to demonstrate improvements made to patients care and treatment.
• Ensure a consistent approach for signposting bereaved patients to support services.
• Develop systems for monitoring the registration status of professional staff on an ongoing basis to ensure they remain up to date.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice