The Grange, 144-146 Mayors Walk, West Town, Peterborough.The Grange in 144-146 Mayors Walk, West Town, Peterborough is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, family planning services, maternity and midwifery services, services for everyone, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 11th May 2018 Contact Details:
Ratings:For a guide to the ratings, click here. Further Details:Important Dates:
Local Authority:
Link to this page: Inspection Reports:Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.
19th April 2018 - During a routine inspection
![]() This practice is rated as Good overall.
The Care Quality Commission (CQC) have previously carried out four inspections of the practice.
We carried out an announced comprehensive inspection at The Grange on 6 June 2016. The practice was rated inadequate overall and for providing safe, effective, and well led services, and requires improvement for providing responsive and caring services. As a result of the findings on the day of the inspection, the practice was issued with a warning notice on 18 July 2016 for regulation 17 (good governance). The practice was placed into special measures for six months.
On 2 September 2016 we carried out a second inspection visit in response to information of concern about the provider who is also the registered manager and principal GP at 3Well Medical Ltd Botolph Bridge. We found the safety and leadership of systems for managing pathology and X-ray results and dealing with repeat prescriptions were not adequate. We did not rate this inspection.
A third inspection was carried out on 4 November 2016, to check on improvements detailed in the warning notice issued on 18 July 2016, following the inspection on 6 June 2016. We found the practice had reviewed their systems and strengthened their quality monitoring but could not demonstrate this was effective. A further warning notice was issued on the 22 November 2016 as appropriate systems were still not in place to assess, monitor, mitigate risks and improve the quality of the service. We did not rate this inspection.
A fourth inspection was undertaken following the period of special measures and included a follow up of the warning notice issued on 22 November 2016. It was an announced comprehensive inspection on 28 February 2017. Overall the practice was rated as requires improvement and was removed from special measures.
The full inspection reports can be found by selecting the ‘all reports’ link for The Grange on our website at .
This inspection was an announced comprehensive inspection carried out on 19 April 2018 to confirm that the practice had carried out the improvements identified at the last inspection in February 2017. Overall the practice is rated as good.
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
At this inspection we found:
The areas where the provider should make improvements are:
Professor Steve Field CBE FRCP FFPH FRCGP
29th August 2017 - During an inspection to make sure that the improvements required had been made
![]() Letter from the Chief Inspector of General Practice
This was the fifth inspection that we have carried out at The Grange. We carried out an announced comprehensive inspection at The Grange on 6 June 2016. The practice was rated inadequate overall, inadequate for providing safe, effective, and well led services, and requires improvement for providing responsive and caring services. As a result of the findings on the day of the inspection, the practice was issued with a warning notice on 18 July 2016 for regulation 17 (good governance). The practice was placed into special measures for six months.
On 2 September 2016 we carried out a second inspection visit in response to information of concern about the provider. The inspection on 2 September 2016 focused on the safe and well led key questions. We found the systems and processes for managing pathology and X-ray results and dealing with repeat prescriptions were not adequate.
A third inspection was carried out on 4 November 2016, to check on improvements detailed in the warning notice issued on 18 July 2016, following the inspection on 6 June 2016. We found that the practice had reviewed their systems and strengthened their quality monitoring but could not demonstrate this was effective. A further warning notice was issued on the 22 November 2016 as appropriate systems were still not in place to assess, monitor, mitigate risks and improve the quality of the service.
A comprehensive inspection was carried out on the 28 February 2017, following the period of special measures and to check on improvements detailed in the warning notice issued on the 22 November 2016, following the inspection on the 4 November 2016. The practice was rated as requires improvement overall. The full inspection reports on the June 2016, September 2016, November 2016 and February 2017 inspections can be found by selecting the ‘all reports’ link for The Grange on our website at www.cqc.org.uk.
This inspection was to check on improvements detailed in the warning notice issued on 8 March 2017, following the inspection on 28 February 2017. This report only covers our findings in relation to those requirements.
Our key findings from this inspection were as follows:
The areas where the provider should make improvement are:
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
28th February 2017 - During a routine inspection
![]() Letter from the Chief Inspector of General Practice
This was the fourth inspection that we have carried out at The Grange.
We carried out an announced comprehensive inspection at The Grange on 6 June 2016. The practice was rated inadequate overall and for providing safe, effective, and well led services, and requires improvement for providing responsive and caring services. As a result of the findings on the day of the inspection, the practice was issued with a warning notice on 18 July 2016 for regulation 17 (good governance). The practice was placed into special measures for six months.
On 2 September 2016 we carried out a second inspection visit in response to information of concern about the provider. An inspection at another practice had identified that patient safety was being put at risk. Both practices shared a number of policies and procedures and several members of staff. The inspection on 2 September 2016 focused on the safe and well led domains. We found that areas of unsafe practice identified at the other practice, had ceased at The Grange. However, we found the safety and leadership of systems for managing pathology and X-ray results and dealing with repeat prescriptions were not adequate.
A third inspection was carried out on 4 November 2016, to check on improvements detailed in the warning notice issued on 18 July, following the inspection on 6 June 2016. We found that the practice had reviewed their systems and strengthened their quality monitoring but could not demonstrate this was effective. A further warning notice was issued on the 22 November 2016 as appropriate systems were still not in place to assess, monitor, mitigate risks and improve the quality of the service.
The full inspection reports on the June 2016, September 2016 and November 2016 inspections can be found by selecting the ‘all reports’ link for The Grange on our website at www.cqc.org.uk.
This inspection was undertaken following the period of special measures and included a follow up of the warning notice issued on 22 November 2016. It was an announced comprehensive inspection on 28 February 2017. Overall the practice is now rated as requires improvement.
Our key findings were as follows:
However, there were also areas of practice where the provider needs to make improvements.
Importantly, the provider must:
In addition the provider should:
This service was placed in special measures in September 2016. I am taking this service out of special measures. This recognises the significant improvements made to the quality of care provided by the service.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
4th November 2016 - During an inspection to make sure that the improvements required had been made
![]() Letter from the Chief Inspector of General Practice
This was the third inspection that we had carried out at The Grange. Our first visit took place on 6 June 2016 when we completed a comprehensive inspection. The practice was rated as inadequate overall and rated as requires improvement for providing caring and responsive services and inadequate for safe, effective and well led services. As a result of the findings on the day of the inspection the practice was issued with requirement notices for Regulation 12 (Safe care and treatment) and Regulation 19 (Fit and proper persons employed). We also found that the systems and processes in place to ensure good governance were ineffective and did not enable the provider to assess and monitor the quality of the services and identify, assess and mitigate against risks to people using services and others. As a result of these findings the practice was issued with a warning notice for Regulation 17 (Good governance) on 19 July 2016 and asked to achieve compliance by 23 September 2016.
On 2 September 2016 we carried out a second inspection visit in response to information of concern we had received about the provider who is also the registered manager and principal GP at a second practice, 3Well Medical Ltd Botolph Bridge. An inspection at 3Well Medical Botolph Bridge had identified that patient safety was being put at risk. Both practices shared a number of policies and procedures and several members of staff worked at both locations. The inspection on 2 September 2016 focused on the safe and well led domains. We found that areas of unsafe practice identified at 3Well Medical Ltd, had ceased at the Grange. However the safety and leadership of systems for managing pathology and X-ray results and dealing with repeat prescriptions were not adequate. The practice was placed into special measures in September 2016.
On the 4 November 2016, we conducted a focused inspection to ensure that the practice had made the required improvements detailed in the warning notice that had been issued on 18 July following our inspection on 6 June 2016. The provider stated that the warning notice had not been received until two weeks prior to our visit.
During our visit we found that the practice had reviewed their systems and taken steps to strengthen the quality monitoring procedures they used for managing services. However, they were unable to demonstrate that all of the improvements had been completed or that they were effective.
We found the provider had not taken all the required actions in order to achieve compliance with the warning notice issued on 19 July 2016. Further enforcement action is being taken and the practice remains in special measures for a period of six months commencing 13 September 2016.
This report covers our findings in relation to our focused inspection. you can read our findings from our last inspections by selecting the ‘all reports’ link for The Grange on our website at www.cqc.org.uk.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
2nd September 2016 - During an inspection to make sure that the improvements required had been made
![]() Letter from the Chief Inspector of General Practice
This was the second inspection CQC has undertaken at The Grange.
On 6 June 2016, we carried out a comprehensive inspection of The Grange. The practice was rated as inadequate overall and rated as inadequate for providing safe, effective and well led services and requires improvement for caring and responsive services. As a result of the findings on the day of the inspection, the practice was issued with warning notices for Regulation 17 (Good governance) and requirement notices for Regulation 12 (Safe care and treatment) and Regulations 18 (Fit and proper persons employed). The practice was placed into special measures for six months.
On 2 September 2016, we conducted an announced focused inspection. This inspection was undertaken because we had received information of concern about the provider. The provider at The Grange is also the Registered Manager and GP principal at a second practice (3Well Ltd Botolph Bridge). During a recent inspection at 3Well Ltd Botolph Bridge the provider was found to be putting patients at risk. We gathered evidence that showed that the lead GP, practice manager and practice staff, worked across both sites. We saw that the management team shared policies and procedures across both sites.
This report covers our findings in relation to our focused inspection which covered the safe and well led domain. You can read our findings from our last inspections by selecting the ‘all reports’ link for The Grange on our website at www.cqc.org.uk.
The key findings from our inspection on 2 September 2016 across all the areas we inspected were as follows:
This service was placed in special measures in September 2016 and this arrangement continues for 6 months.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
6th June 2016 - During a routine inspection
![]() Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at The Grange on 6 June 2016. Overall the practice is rated as inadequate
Our key findings across all the areas we inspected were as follows:
The areas where the provider must make improvements are:
In addition the provider should:
As a result of the findings on the day of the inspection the practice was issued with warning notices for Regulation 17 (Good governanace). We will return to ensure that the practice has complied with this warning notice as soon as it has expired.
I am placing this service in special measures.
Where a service is rated as inadequate for one of the five key questions or one of the six population groups or overall and after re-inspection has failed to make sufficient improvement, and is still rated as inadequate for any key question or population group, we place it into special measures.
Services placed in special measures will be inspected again within six months. If insufficient improvements have been made such that there remains a rating of inadequate for any population group, key question or overall, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating the service. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve.
Special measures will give people who use the service the reassurance that the care they get should improve.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
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