The Care Quality Commission
  • Doctor
  • GP practice

Croft Surgery

Overall: Good read more about inspection ratings

Willenhall Medical Centre, Gomer Street, Willenhall, West Midlands, WV13 2DR (01902) 600900

Provided and run by:
Croft Surgery

All Inspections

7 December 2023

During an inspection looking at part of the service

We undertook a targeted assessment of the responsive key question at Croft Surgery. The rating for the responsive key question is Good. As the other domains were not reviewed during this assessment, the rating of good will be carried forward from the previous inspection and the overall rating of the service will remain Good.

Safe – not inspected, rating of Good carried forward from previous inspection

Effective - not inspected, rating of Good carried forward from previous inspection

Caring - not inspected, rating of Good carried forward from previous inspection

Responsive - Good

Well-led - not inspected, rating of Good carried forward from previous inspection

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

Why we carried out this inspection

This inspection was a targeted assessment of the key question of responsive.

How we carried out the inspection/review

This inspection was carried remotely. This included:

• Conducting staff interviews using video conferencing.

• Requesting evidence from the provider

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 found that:

  • Patients were satisfied with the telephone access to appointments offered by the practice. This was reflected in the National GP survey.

  • The practice understood the needs of its local population.

  • Patients could access care and treatment in a timely way and the provider had implemented systems and processes as a result of patient feedback.

  • The practice dealt with complaints in a timely manner and learned from them.

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

  • Continue to monitor and audit patient feedback and identify ways to improve phone access and appointment availability.

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

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Health Care

21/01/2020

During a routine inspection

We carried out an announced comprehensive inspection at Croft Surgery on 21 January 2020 as part of our inspection programme.

The practice had re-registered as a partnership with the Care Quality Commission in February 2019. We therefore carried out a comprehensive inspection of the service under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. We carried out a planned inspection to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008 and to provide a rating for the service under the Care Act 2014.

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 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 organised and delivered services to meet patients’ needs. 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-centre care.

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

  • Improve the investigative process when reviewing significant events.
  • Improve document control.
  • Record and respond to environmental and health and safety alerts.
  • Consider reviewing the emergency protocol for receptionists.
  • Include raise staff awareness of practice vision and values.
  • Consider a forward audit plan.

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