The Care Quality Commission
  • Doctor
  • GP practice

St Katherines Surgery

Overall: Good read more about inspection ratings

Market Street, Ledbury, Herefordshire, HR8 2AQ (01531) 633271

Provided and run by:
Ledbury Health Partnership

All Inspections

6 July 2023

During a monthly review of our data

We carried out a review of the data available to us about St Katherines 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 St Katherines Surgery, you can give feedback on this service.

5 March 2020

During an annual regulatory review

We reviewed the information available to us about St Katherines Surgery on 5 March 2020. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

22 Nov 2018

During a routine inspection

This practice is rated as Good overall. (Previous rating 14/04/15 – Good)

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 St Katherine’s Surgery on 22 November 2018 as part of our inspection programme.

At this inspection we found:

  • There was an open and transparent approach to safety and a system in place for recording, reporting and learning from significant events. 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.
  • There were clear responsibilities, roles and systems of accountability to support effective governance.
  • Most staff had completed the basic life support training, however we noted that some of the GPs training was out of date. After the inspection the practice sent us evidence that this had been booked for staff to attend.
  • 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 practice engaged with external organisations to improve the quality of services delivered for practice patients and the local population.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.
  • The practice responded to complaints in a timely and open manner.
  • There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

  • Continue to monitor and review the uptake for cervical screening.
  • Review systems to ensure that all staff remain up to date with the practice’s mandatory training.

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice

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

14 April 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We inspected this service on 14 April 2015 as part of our new comprehensive inspection programme.

The overall rating for this service is good. We found the practice to be good in the safe, effective, caring, responsive and well-led domains. The practice was good at providing services for older people, people with long term conditions, families, children and young people, the working age population and those recently retired, people in vulnerable circumstances and people experiencing poor mental health.

Our key findings were as follows:

  • Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. All opportunities for learning from incidents were maximised.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment. Information was provided to help patients understand the care available to them.
  • The practice implemented suggestions for improvements and made changes to the way it delivered services as a result of feedback from patients and from the Patient Participation Group (PPG).
  • There were systems in place to keep patients safe from the risk and spread of infection.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • Information about how to complain was available for patients should they wish to make a complaint.
  • Quality performance data showed the practice was performing highly compared with local and national averages, achieving an overall score of 99.5% in the 2014 to 2015 year.
  • The practice held regular multidisciplinary clinical team meetings to discuss the needs of complex patients, for example those with end of life care needs or children who were at risk of harm.
  • The practice had a clear vision which had quality and safety as its top priority. High standards were promoted and owned by all practice staff with evidence of team working across all roles.
  • The practice had an open culture that was effective and encouraged staff to share their views through staff meetings and significant event meetings.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice