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Waterbeach Surgery

Type Primary Medical Services Region East Last inspected 9 Dec 2021

Archived This service was archived (deregistered) by CQC on 2 Feb 2023. The ratings below are historical and do not reflect a current service.

Location rating: Requires Improvement  View location on CQC

Location ratings by domain

Five CQC key questions

Ratings held for this CQC location, last inspected 9 December 2021. Ratings extracted from individual reports are shown separately below.

Safe
Requires Improvement
Effective
Good
Caring
Good
Responsive
Requires Improvement
Well-led
Requires Improvement

Most recent report indexed for actions

The date and rating here are from an individual report, not necessarily the location's latest assessment. Report ratings are extracted with AI; verify the original PDF.

Type: Comprehensive inspection
Date: 9 December 2021
Rating extracted from this report: Requires Improvement
Actions indexed: 1 must-do 2 should-do

Read this inspection PDF

AI-extracted 17 Feb 2026

Earlier inspection findings

pre-2024 framework · 1 must-do 2 should-do

Must-do actions (1)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 1
Must do
Well-led
Establisheffectivesystemsandprocessestoensuregoodgovernanceinaccordancewiththefundamentalstandards ofcare
Regulation: Regulation 17 HSCA (RA) Regulations 2014 Good governance
⚠ Wefoundaninconsistencyinthereviewingandcodingofmedicinereviewsundertaken.Therewere1008medicines reviewsthathadnotbeenfullydocumentedornot undertakeninthepast12months. Wefoundsomegapsinthemonitoringandclinical oversightofallclinicalstaffperformance,andmedical recordkeeping.Wefoundexamplesofpoor documentationwithmedicalrecords.Wefoundalack ofdetailwhichdidnotensureotherhealth professionalsorpatientsreadingthenoteswould understandorhavealltheinformationtheymay requiretoassessandtreatthepatient. Wefoundexamplesofpoorcodinginrespectof patientswithchronickidneydisease.Wefoundan estimatedcalculationhadbeenrecordedandnotan actualcalculation.Thiswasbecausetherecorddidnot containanuptodateweightofthepatient.

Should-do actions (2)

Recommended improvements to enhance service quality.

Should-do action 1 of 2
Should do
Responsive
Continuetomonitorandimprovepatientexperiencerelatingtoaccesstothesurgery.
Should-do action 2 of 2
Should do
Effective
Continuetomonitorandimproveuptakeforcervicalscreeningprogramme.