The Care Quality Commission
  • Doctor
  • GP practice

The Garth Surgery

Overall: Good read more about inspection ratings

Rectory Lane, Guisborough, Cleveland, TS14 7DJ (01287) 632206

Provided and run by:
The Garth 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 The Garth 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 Garth Surgery, you can give feedback on this service.

10 January 2020

During an annual regulatory review

We reviewed the information available to us about The Garth Surgery on 10 January 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.

1 August 2019

During an inspection looking at part of the service

We carried out an announced, focussed follow-up inspection at The Garth Surgery on 1 August 2019 as part of our inspection programme.

We decided to undertake an inspection of this service following a previous rating, in January 2019, of Requires Improvement for providing safe services. We rated the practice as Requires Improvement for providing safe services because the arrangements in respect of; infection prevention and control, recognising sepsis, the tracking of blank prescriptions through the practice, authorisation of Patient Group Directions, monitoring high-risk medicines, and emergency medicines’ storage needed improving. The full comprehensive report on the January 2019 inspection can be found by selecting the ‘all reports’ link for The Garth Surgery on our website at www.cqc.org.uk.

This inspection looked at the following key questions:

  • Safe

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.

At this August 2019 inspection we saw that the practice had made improvements in all of the areas of concern that we found in January 2019.

We have now rated this practice as good overall: good for all key questions, and good for all population groups.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.

Whilst we found no breaches of regulations, the provider should:

  • Update the infection prevention and control policy to contain the actions required for notifiable and/or communicable diseases.

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

23 January 2019

During a routine inspection

We carried out an announced comprehensive inspection at The Garth Surgery on 23 January 2019 as part of our inspection programme.

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 and good for all population groups.

We found that:

  • The practice needed to make improvements to some systems 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 organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider must make improvements are:

  • Ensure care and treatment is provided in a safe way to patients

The areas where the provider should make improvements are:

  • Improve the identification of carers to enable this group of patients to access the care and support they need.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

21 April 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Garth Surgery on 21 April 2015. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing safe, effective, caring, responsive and for being well led. It was also good for providing services for older people and people with long term conditions.

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

  • Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. All opportunities for learning from internal and external incidents were maximised.
  • The practice offered a variety of pre-booked appointments, walk-in clinics and extended opening hours.
  • 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 safely and effectively provided services for all patient groups. The staff were caring and ensured all treatments being provided followed best practice guidance. The practice was well-led and responsive to patients’ needs.
  • The practice had systems and processes in place to ensure they provided a safe service.
  • The practice had an effective governance system in place, was well organised and actively sought to learn from performance data, complaints, incidents and feedback.
  • The practice actively sought the opinions of staff and patients, working with a well-established patient participation group (PPG).

We saw several areas of outstanding practice including:

  • The practice had increased the flexibility of access to appointments and could demonstrate the impact of this by being part of the Prime Ministers Challenge Fund for seven day working extended at Redcar Primary Care Hospital.
  • The practice had designed and implemented a patient triage system; Prioritisation of Patients Guide to Urgency for Non Clinicians (POPGUN). This enabled patients to be accurately signposted to direct care they needed in a safe, effective and efficient way.
  • Part time counsellors were employed by the practice to enable patients to have direct access to enhanced mental health support services.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice