We carried out an announced comprehensive inspection at The New Surgery on 20 March 2019 as part of our inspection programme.

We based our judgement of the quality of care provided at this service on a combination of:

• What we found when we inspected;
• Information from our ongoing monitoring of data about services;
• Information from the provider, patients, the public and other organisations.

We rated the practice as good overall and good for all population groups.

We rated the practice as requires improvement for providing safe services because:

• The practice’s systems and processes to keep people safe were not always comprehensive.
• Staff did not always have the information they needed to deliver safe care and treatment.
• The practice’s systems for the appropriate and safe use of medicines, including medicines optimisation were insufficient.
• The practice did not have an appropriate system in place for recording and acting on safety alerts.

Please see the final section of this report for specific details of our concerns.

We rated the practice as good for providing effective, caring, responsive and well-led services because:

• Patients received effective care and treatment that met their needs. The practice routinely reviewed the effectiveness and appropriateness of the care it provided. Staff had the skills, knowledge and experience to deliver effective care and treatment.
• Staff involved patients in their care and treatment decisions and treated them with kindness, dignity and respect.
• The practice organised and delivered services to meet patients’ needs. 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 and an inclusive, supportive environment for staff. There was a focus on continuous learning and improvement at all levels of the organisation. Where we identified any concerns during our inspection, the practice took action to respond or plans of action were developed to ensure any issues were resolved.

The area where the provider must make improvements is:

• Ensure care and treatment is provided in a safe way to patients.

Please see the final section of this report for specific details of the action we require the provider to take.

The areas where the provider should make improvements are:

• Adhere to the intercollegiate guidance on safeguarding competencies so that staff complete the appropriate level of safeguarding training for their roles.
• Consider the use of a data logger in the vaccine fridge.
• Continue to maintain an 80% attainment for women adequately screened for cervical cancer.
• Consider using a palliative care template to ensure consistent reporting of appropriate data sets for these patients.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Please refer to the detailed report and the evidence tables for further information.