This practice is rated as Good overall. This is the first inspection of the practice under the management of Coastal Villages Practice (Ormesby Village Surgery).

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Windmill Surgery on 17 August 2018. We inspected the practice as part of our inspection programme.

At this inspection we found:

• The practice is one of three practices managed by the provider Coastal Villages Practice, there was a clear leadership structure and staff felt supported by management. The practice ensured that communication across all seven sites, including Windmill Surgery, was clear and defined.
• The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
• The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines. We saw evidence that the practice had identified and improved their performance from 2016/2017 in relation to some of the quality and outcome framework indicators.
• Staff involved and treated patients with compassion, kindness, dignity and respect.
• Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
• The practice had widened the skill mix within the practice and had advance nurse practitioners, a pharmacist and emergency care practitioner offering appointments and home visits to patients.
• We found the dispensary to be well managed.
• There was a strong focus on continuous learning and improvement at all levels of the organisation.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

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