Source · CQC inspection

Bousfield Surgery

Type Primary Medical Services Region North West Last inspected 5 Jul 2023

Location rating: Not Yet Rated  View location on CQC

Location ratings by domain

Five CQC key questions

Ratings held for this CQC location, last inspected 5 July 2023. Ratings extracted from individual reports are shown separately below.

Safe
Not Yet Rated
Effective
Not Yet Rated
Caring
Not Yet Rated
Responsive
Not Yet Rated
Well-led
Not Yet Rated

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: 5 July 2023
Rating extracted from this report: Requires Improvement
Actions indexed: 1 must-do 7 should-do

Read this inspection PDF

AI-extracted 17 Feb 2026

Earlier inspection findings

pre-2024 framework · 1 must-do 7 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
Ensure persons employed in the provision of the regulated activity receive the appropriate training to enable them to carry out the duties.
Regulation: Regulation 18(2) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
⚠ The provider had failed to ensure that persons employed in the provision of a regulated activity received such appropriate training to enable them to carry out the duties they were employed to perform. In particular: One clinical member of staff needed to complete basic life support training refresher course. Two …

Should-do actions (7)

Recommended improvements to enhance service quality.

Should-do action 1 of 7
Should do
Well-led
Improve the management of significant events and complaints by providing appropriate training to the person responsible for the investigation and documentation of significant events and complaints.
Should-do action 2 of 7
Should do
Responsive
Take action to acknowledge complaints in accordance with the providers complaint policy and document any learning from complaints.
Should-do action 3 of 7
Should do
Effective
Take action to improve the system to review patient medication on an annual basis and within one week of prescribing of rescue steroids for patients with asthma.
Should-do action 4 of 7
Should do
Effective
Take action to improve cervical screening and childhood immunisation uptake.
Should-do action 5 of 7
Should do
Responsive
Take action to improve patients experience of being able to get through to the practice by telephone.
Should-do action 6 of 7
Should do
Caring
Take steps to improve the availability of accessible and easy to read information.
Should-do action 7 of 7
Should do
Well-led
Take steps to formally record the challenges faced by the practice and how they are to be overcome as part of the strategy for promoting the vision and values of the practice.

Previous inspection

15 December 2022
Rating extracted from this reportRequires Improvement
TypeComprehensive inspection
Actions 2 must-do 3 should-do

Read previous inspection PDF

1 resolved 4 repeated