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Glemsford Surgery

Provider West Suffolk NHS Foundation Trust Type NHS Healthcare Organisation Region East Last inspected 20 Jul 2022

Overall rating: Requires Improvement  View full CQC report

Domain ratings

Five CQC key questions
Safe
Requires Improvement
Effective
Good
Caring
Good
Responsive
Requires Improvement
Well-led
Requires Improvement

Earlier inspection findings

pre-2024 framework · 1 must-do 3 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
Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
Regulation: Regulation 17 HSCA (RA) Regulations 2014 Good governance
⚠ The registered person had failed to ensure there were effective systems and processes in place to assess, monitor and mitigate the risks relating to the health, safety and welfare of service users and others who may be at risk which arise from the carrying on of the regulated activity. Specifically: …

Should-do actions (3)

Recommended improvements to enhance service quality.

Should-do action 1 of 3
Should do
Effective
Continue to embed the process to monitor the appropriate level of antibiotic prescribing for uncomplicated urinary tract infections.
Should-do action 2 of 3
Should do
Responsive
Continue to review and improve the opportunities for patients to access health screening checks.
Should-do action 3 of 3
Should do
Well-led
Continue to engage in patient feedback/survey exercises to gain and act upon patient opinion to improve patient satisfaction.

Location details

CQC ID: RGRX1
Local authority: Suffolk
Region: East

Inspection report

Type: Comprehensive inspection
Date: 20 July 2022
Rating: Good
Actions: 1 must-do 3 should-do
AI-extracted 3 Jun 2026