We carried out an announced inspection at Angel Surgery on 27 June-1 July 2022. Overall, the practice is rated as Good.
Set out the ratings for each key question:
Safe - Good
Effective - Good
Caring - Good
Responsive - Good
Well-led - Good
Why we carried out this inspection:
This was a comprehensive inspection as part of our inspection programme. This was our first inspection of this location since it had changed provider in August 2020.
How we carried out the inspection:
Throughout the pandemic CQC has continued to regulate and respond to risk. However, considering 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
- Speaking to patients using video conferencing and during the site visit
- A short site visit
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 which 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.
- The way the practice was led and managed promoted the delivery of high-quality, personal care.
Whilst we found no breaches of regulations, the provider should:
- Improve efforts to increase their childhood immunisation uptake.
- Improve efforts to increase their cancer screening uptake.
- Improve efforts to increase the number of identified carers within the practice population.
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