The Care Quality Commission
  • Doctor
  • GP practice

Langley House Surgery

Overall: Good read more about inspection ratings

27 West Street, Chichester, West Sussex, PO19 1RW (01243) 782266

Provided and run by:
Langley House Surgery

All Inspections

6 July 2023

During a monthly review of our data

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

21 February 2020

During a routine inspection

We carried out an inspection of Langley House Surgery on 21 February 2020. This followed our annual review of the information available to us including information provided by the practice. Our review indicated that there may have been a significant change to the quality of care provided since the last inspection.

This inspection focused on the following key questions: Safe, Effective and Well Led.

Because of the assurance received from our review of information we carried forward the ratings for the following key questions: Caring and Responsive.

We based our judgement of the quality of care provided by the practice 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 and good for the safe, effective and well led domains.

All population groups have been rated as good.

Our overall findings were: -

  • Patient feedback was consistently positive. Patients told us that staff treated them with compassion, kindness, dignity and respect. They were involved in their care and decisions about their treatment.
  • Patients found the appointment system easy to use and reported that they could access care when they needed it.
  • The premises were clean and hygienic.
  • 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 sought and acted on feedback from patients.
  • The practice had a clear vision to improve patient services across the area.
  • Staff were positive about working in the practice and felt valued and supported by the leadership. They had the training they needed to carry out their roles effectively.
  • Leaders were visible and approachable.


The areas where the practice should make improvements are:

  • Implement additional control measures to mitigate the risk of fire to ensure the premises are safe.
  • Improve the uptake for cervical screening to ensure at least 80% coverage in line with the national target.
  • Maintain written records of practice nurse competency assessments.
  • Adopt an effective process to ensure all required emergency medicines are available and suitable for use.
  • Ensure all dispensed medicines are appropriately labelled.
  • Ensure delivery drivers for the dispensary provide evidence of up to date checks with the Disclosure and Barring Service.

Dr Rosie Bennyworth BS BMedSci MRCGPChief Inspector of General Practice

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

21 October 2016

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of this practice on 20 January 2016. Breaches of Regulatory requirements were found during that inspection within the safe domain. After the comprehensive inspection, the practice sent us an action plan detailing what they would do to meet the regulatory responsibilities in relation to the following:

  • To ensure that Controlled Drugs awaiting destruction are destroyed in a timely manner.
  • To ensure that medicines management systems are reviewed to protect patients against the risk of unsafe care and treatment particularly in regard to repeat prescriptions and blank prescription pad management.

We found the practice had made improvements since our last inspection on 20 January 2016. At our inspection on 21 October 2016, we found the practice was meeting the regulations that had previously been breached.

The practice had reviewed and implemented changes to their generation of repeat prescriptions, timely destruction of out of date controlled drugs and the tracking of handwritten prescription forms.

We have amended the rating for this practice to reflect these changes. The practice is now rated good for the provision of safe, effective, caring, responsive and well led services.

This report only covers our findings in relation to those requirements mentioned above. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Langley House Surgery on our website at www.cqc.org.uk.

This report should be read in conjunction with the last report published in March 2016

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

20 January 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Langley House Surgery on 20 January 2016. The branch surgery located in Bosham was not inspected. Overall the practice is rated as good.

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 assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had 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.
  • Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.

  • Feedback from patients about their care was consistently and strongly positive.

  • The practice implemented suggestions for improvements and made changes to the way it delivered services as a consequence of feedback from patients and from the patient participation group

  • The practice had good facilities and was well equipped to treat patients and meet their needs though the limitations of providing this from a listed building proved a challenge to the staff.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the Duty of Candour.

The practice did not have effective systems in place which ensured medicines were managed safely. For example, Patient Specific Directions (PSDs) were not authorised in the appropriate manner, handwritten prescription stationary was not tracked, controlled drugs were not managed correctly, repeat prescriptions were generated even though the review date had passed and patient confidentiality was not always ensured whilst prescriptions were being delivered. The areas where the provider must make improvement are:

  • Ensure that medicines management systems are reviewed to protect patients against the risk of unsafe care and treatment.

    In addition the provider should:

  • Ensure that Controlled Drugs awaiting destruction are destroyed in a timely manner

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice