We carried out a review of the data available to us about Central Surgery on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Central Surgery, you can give feedback on this service.
We carried out an announced focused desk top inspection at Central Surgery on 27 April 2021. Overall, the practice is rated as good. The practice is rated:
Safe - Good
Effective - Good
Caring - Good
Responsive - Good
Well-led - Good
Following our previous inspection on 4 March 2019, the practice was rated Good overall and for all key questions except for providing effective services where the practice was rated requires improvement. The practice was rated requires improvement for providing effective services to three population groups; people with long-term conditions, families children and young people, working age people (including those recently retired and students).
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Central Surgery on our website at www.cqc.org.uk.
Why we carried out this inspection
This inspection was a focused review of information without undertaking a site visit to follow up effective services including any breaches of regulations or ‘shoulds’ identified in the previous inspection.
How we carried out the inspection
Throughout the pandemic CQC has continued to regulate and respond to risk. However, taking into account the circumstances arising as a result of the pandemic, and in order to reduce risk, we have conducted our inspections differently.
This inspection was carried out remotely, evidence was requested from the provider and reviewed remotely. This was with consent from the provider and in line with all data protection and information governance requirements.
Our findings
We based our judgement of the quality of care at this service on a combination of:
We have rated this practice as Good overall and good for all population groups.
We found that:
Whilst we found no breaches of regulations, the provider should:
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care
We carried out an announced comprehensive inspection at Central Surgery on 4 March 2019, to check that improvements that had been identified at our inspection of 10 January 2018 had been sustained. At that time the practice was rated good overall with a rating of requires improvement for
safe services. This was because:
Systems to assess, monitor and mitigate risks relating to the health, safety and welfare of the service user were not sufficient. Some nebules and injection needles had expired.
Systems relating to the maintenance of records kept in relation to persons employed in the carrying out of the regulated activity were not sufficient. Records of identity and professional registration checks were not consistently kept.
We found that these areas had been adequately addressed.
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. We have rated safe, caring, responsive and well-led as good. We have also rated the population groups of older people, people whose circumstances make them vulnerable and people suffering from poor mental health as good.
At this inspection we found:
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.
Staff dealt with patients with kindness and respect and involved them in decisions about their care.
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-centre care.
We have rated the practice as requires improvement for providing effective services. This is because three population groups were rated as requires improvement and the ratings aggregated together mean that the effective domain is requires improvement overall. This was because;
In the population group, patients with long term conditions, the practice had significantly lower than average performance in the majority of the diabetes indicators and higher than average exception reporting.
In the population group, families, children and young people, Childhood immunisation uptake rates for children aged two were significantly lower than the World Health Organisation (WHO) targets.
In the population group working age people, the percentage of women eligible for cervical cancer screening at a given point in time, who were screened adequately within a specified period was below the 80% target and below local and national averages.
The area where the practice must make improvement is:
Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care
The areas where the practice should make improvements are:
Monitor the impact of staff training to improve the communication of reception staff.
Equipment for dealing with clinical emergencies should be checked regularly, including the availability of spare pads for the defibrillator and the availability of a paediatric oximeter.
Improve the data in relation to anti-biotic prescribing.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care
This practice is rated as Good overall.
The key questions are rated as:
Are services safe? – Requires improvement
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:
Older People – Good
People with long-term conditions – Good
Families, children and young people – Good
Working age people (including those recently retired and students – Good
People whose circumstances may make them vulnerable – Good
People experiencing poor mental health (including people with dementia) - Good
The provider of this service has changed since the last inspection, when the service was placed in a period of special measures. This was an inspection of the new provider, who was one of the partners previously registered with us, so during the course of this inspection, we looked at the issues raised at our last inspection to ensure that the required improvements had been made.
We carried out an announced comprehensive inspection at Central Surgery on 10 January 2018. We also visited the branch surgery at Thorpe Bay as part of this inspection.
At this inspection we found:
The areas where the provider must make improvements are:
Chief Inspector of General Practice