We carried out a review of the data available to us about The Westover 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 The Westover Surgery, you can give feedback on this service.
This practice is rated as Good overall. (Previous inspection 13 January 2015 – Good)
The key questions are rated as:
Are services safe? – Good
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
We carried out an announced comprehensive inspection at The Westover Surgery on 6 March 20018 as part of our planned inspection programme.
At this inspection we found:
Chief Inspector of General Practice
Westover Surgery was inspected on Wednesday 13 January 2015. This was a comprehensive inspection. Overall, we rated this practice as good.
Westover Surgery provides primary medical services to people living in Falmouth and the surrounding areas. The practice provides services to a homogenous population with a diverse range of age groups. Westover Surgery is situated in a residential location in the seaside town of Falmouth. The main practice is at Westover Surgery, Western Terrace, Falmouth, Kernow TR11 4QJ and the branch surgery is at Wood Lane, Woodlane Branch Surgery, Trelawney Road, Falmouth TR11 3GP. We visited the main practice at Westover Surgery during our inspection.
At the time of our inspection there were approximately 8,300 patients registered at the service with a team of five GP partners and one salaried GP. GP partners held managerial and financial responsibility for running the business. In addition there was a practice manager, and additional administrative and reception staff.
Patients who use the practice have access to community staff including district nurses, community psychiatric nurses, health visitors, physiotherapists, mental health staff, counsellors, chiropodist and midwives.
Westover Surgery is a General Medical Services practice.
Our key findings were as follows:
We rated this practice as good. Patients reported having good access to appointments at the practice and liked having a named GP which improved their continuity of care. The practice was clean, well-organised, had good facilities and was well equipped to treat patients. There were effective infection control procedures in place.
The practice valued feedback from patients and acted upon this. Feedback from patients about their care and treatment was consistently positive. We observed a patient centred culture. Staff were motivated and inspired to offer kind and compassionate care and worked to overcome obstacles to achieving this. Views of external stakeholders were positive and were aligned with our findings.
The practice was well-led and had a clear leadership structure in place whilst retaining a sense of mutual respect and team work. There were systems in place to monitor and improve quality and identify risk and systems to manage emergencies.
Patients’ needs were assessed and care was planned and delivered in line with current legislation. This included assessment of a patient’s mental capacity to make an informed decision about their care and treatment, and the promotion of good health.
Suitable staff recruitment, pre-employment checks, induction and appraisal processes were in place and had been carried out. Staff had received training appropriate to their roles and further training needs had been identified and planned.
Information received about the practice prior to and during the inspection demonstrated the practice performed comparatively with all other practices within the clinical commissioning group (CCG) area.
Patients told us they felt safe in the hands of the staff and felt confident in clinical decisions made. There were effective safeguarding procedures in place.
Significant events, complaints and incidents were investigated and discussed. Learning from these events was communicated and acted upon.
Some practice staff were dementia friends, so knew more about how they could help people with the condition.
There were areas of practice where the provider needed to make improvements.
The provider should:
Chief Inspector of General Practice