The Care Quality Commission
  • Doctor
  • GP practice

Praze-An-Beeble Surgery

Overall: Good read more about inspection ratings

School Road, Praze-an-Beeble, Camborne, Cornwall, TR14 0LB (01209) 831386

Provided and run by:
Godolphin Health

All Inspections

18 February 2022

During an inspection looking at part of the service

We carried out an announced inspection Praze-An-Beeble Surgery on 18 February 2022. Overall, the practice is rated as Good.

Safe - Good

Effective - Good

Well-led - Good

Following our previous inspection in January 2017 the practice was rated Good overall and for all key questions.

The full reports for previous inspections can be found by selecting the ‘all reports’ link for Praze-An-Beeble Surgery on our website at www.cqc.org.uk

Why we carried out this inspection

We undertook this inspection at the same time as Care Quality Commission (CQC) inspected a range of urgent and emergency care services in Cornwall. To understand the experience of GP Providers and people who use GP services, we asked a range of questions in relation to urgent and emergency care. The responses we received have been used to inform and support system-wide feedback.

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 in a way which enabled us to spend a minimum amount of time on site. This was with consent from the provider and in line with all data protection and information governance requirements.

This included

  • Conducting staff interviews using video conferencing
  • Completing clinical searches on the practice’s patient records system and discussing findings with the provider
  • Reviewing patient records to identify issues and clarify actions taken by the provider
  • Requesting evidence from the provider
  • A short site visit
  • Telephone based interviews

Our findings

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 found that:

  • 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 adjusted how it delivered services to meet the needs of patients during the COVID-19 pandemic. 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-centred care.
  • Some examples of innovation and use of technology had been utilised to try and improve patient outcomes.
  • Not all aspects of governance were managed appropriately, this caused some minor shortfalls in the managerial overview.

Whilst we found no breaches of regulations, the provider should make sure they are following up to date guidance and have processes in place and follow them to assure themselves that:

  • All staff’s mandatory training is up to date.
  • Patient Group Directions are managed appropriately.
  • Continue to improve the uptake of childhood immunisations and cervical screening.

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

10 January 2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Praze-An-Beeble Surgery on 15 June 2016. The overall rating for the practice was requires improvement. The full comprehensive report on the June 2016 inspection can be found by selecting the ‘all reports’ link for Praze-An-Beeble Surgery on our website at www.cqc.org.uk .

This inspection was an announced focused inspection carried out on 10 January 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 15 June 2016 This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.

Overall the practice is now rated as Good

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.

  • There were Improvements to governance processes. Policies had been reviewed and the number of clinical audits had increased and demonstrated improvements in patient care.

  • A Patient Participation Group had been formed and had met to discuss how the group would work.

  • Communication had improved and was done both informally and formally through an increased number of meetings.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

15 June 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Praze-an-Beeble Surgery on 15 June 2016. Overall the practice is rated as Requires Improvement

Our key findings across all the areas we inspected were as follows:

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events. Staff were able to report incidents, near misses and concerns; however, evidence of learning from the events and communication of outcomes and actions with staff, which might improve the service, was limited.

  • Risks to patients were assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
  • Feedback from patients about the care and treatment they received and about the services provided was consistently high and above local and national averages in many areas.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. Although some audits had been carried out, we saw no evidence that audits were driving improvement in performance to improve patient outcomes.
  • The provider was aware of and complied with the requirements of the duty of candour.

The areas where the provider must make improvement are:

  • Ensure systems and processes are put in place to improve communication between all staff teams; particularly in regard of sharing learning from significant events, complaints, audits and service feedback.

  • Ensure systems and processes in support of clinical audits and re-audits are put in place to improve patient outcomes.

  • Ensure systems and process are developed to ensure that blood tests and GP interventions take place before high-risk medicines are prescribed.

  • Ensure systems for monitoring medicines to ensure they are in date and stored in line with manufacturers guidelines.

The areas where the provider should make improvement are:

  • Review systems for information kept about medicines deliveries to ensure that patients receive their medicines safely.

  • Obtain patient feedback through a patient participation group.

  • Ensure controlled drug stock checks at the interval defined in dispensary procedures

Professor Steve Field CBE FRCP FFPH FRCGP

Chief Inspector of General Practice