CQC Report: Regency Surgery, September 2023

The Care Quality Commission (CQC) carried out an announced comprehensive inspection at Regency Surgery from 20 June 2023 to 22 June 2023. Overall, the practice is rated as good.

Safe - good

Effective - good

Caring - good

Responsive - good

Well-led - good

CQC previously carried out an announced comprehensive inspection of Regency Surgery in June 2022. This was part of a random selection of services and at this earlier inspection the practice was rated inadequate and placed in special measures. Following this most recent inspection, the practice has been taken out of special measures.

Summary of findings

• The provider had continued to make improvements since our last inspection and had fully addressed all of the areas of concern raised by our last inspections.

• Risks to patients, staff and visitors were assessed, monitored and managed effectively. This included child and adult safeguarding processes, staffing including recruitment and supervision, medicines management, health and safety, and information governance.

• 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.

• Patients could access care and treatment in a timely way. The practice was committed to offering a flexible and accessible appointment system that met the patient needs.

• Feedback from patients from the national GP patient survey was consistently higher than local and national averages.

• The way the practice was led and managed promoted the delivery of high-quality, person-centred care.

• Staff were proud to work at the practice and happy with the level of support provided by their management team and each other. Staff told us they were given opportunities to develop and further their career.

• The practice leaders demonstrated that one of their commitments was for the practice becoming an eco-friendly and sustainable practice.

• Governance systems and processes had continued to improve, evolve and embed.

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

• Review systems and processes to improve uptake of child immunisation and cervical screening