We carried out a review of the data available to us about Laurel House 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 Laurel House Surgery, you can give feedback on this service.
This practice is rated as Good overall. (Previous inspection 18 March 2015 – Good)
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Requires Improvement
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
We carried out an announced comprehensive/focused inspection at Laurel House Surgery on 4 January 2018 as part of our inspection programme.
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.
The Quality Outcome Framework (QOF) results for 2016/17 showed that clinical exception reporting for patients with long term conditions, such as asthma, COPD, diabetes and patients experiencing poor mental health were significantly higher than local and national averages. We foundthat patients had had their records reviewed by a GP before exception reporting was agreed including patients who had not attended for an appointment on three occasions. The documentation seen was robust.
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.
There was a strong focus on continuous learning and improvement at all levels of the organisation.
Staff employment references including verbal references should be appropriately documented.
Continue to update policies and procedures including the implementation documentation to support the one to one sessions held with the Advanced Nurse Practitioners/nurse prescribers.
Consider Mental Capacity Act training for all clinical staff.
Consider improvement in telephone access for patients and survey patient opinion on access to the practice.
Review complaints procedures to include recording informal complaints received. Ensure that all complainants have the parliamentary health ombudsman details documented in the practices response letter.
Address the issues highlighted in the national GP patient survey in order to improve patient satisfaction, including appointment access and ease of access to the practice by telephone.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Laurel House Surgery on 18 March 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 older people; people with long-term conditions; families, children and young people; working age people; people whose circumstances may make them vulnerable and people experiencing poor mental health.
Our key findings across all the areas we inspected were as follows:
We saw one area of outstanding practice:
However there were areas of practice where the provider needs to make improvements.
Importantly the provider should:
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice