Source · CQC inspection

Westminster Surgery

Provider Cheshire and Wirral Partnership NHS Foundation Trust Type NHS Healthcare Organisation Region North West Last inspected 25 Apr 2017

Overall rating: Good  View full CQC report

Domain ratings

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

Earlier inspection findings

pre-2024 framework · 10 should-do

Should-do actions (10)

Recommended improvements to enhance service quality.

Should-do action 1 of 10
Should do
Safe
Provideclearguidancetostaffconcerningthebodytocontactforadviceaboutpossiblesafeguardingconcernsandensureallrequestsforinformationforsafeguardingmeetingsandtheresponseareplacedonpatients’records.
Should-do action 2 of 10
Should do
Safe
Thehealthandsafetyriskassessmentspecifictothepracticeshouldcontainmoredetailaboutpossiblerisksandhowtheyaretobemitigated.
Should-do action 3 of 10
Should do
Safe
In-housetestsofthefirealarmandemergencylightingshouldconsistentlytakeplaceattherecommendedfrequencies.
Should-do action 4 of 10
Should do
Effective
Aplannedprogrammeofauditsshouldbeputinplace.
Should-do action 5 of 10
Should do
Effective
ThesalariedGPshouldhaveanin-houseappraisalinadditiontotheexternalappraisalprocess.
Should-do action 6 of 10
Should do
Effective
Theplansinplaceforimprovingthepatientrecallsystemstoensurepatientsarerecalledformonitoringlong-termconditionsandroutinescreeningforcancershouldbeperiodicallyreviewedtoensuretheyareeffective.
Should-do action 7 of 10
Should do
Effective
Arecordshouldbemaintainedofallclinicaltrainingprovidedtoassistwithmonitoringtrainingneeds.
Should-do action 8 of 10
Should do
Responsive
Informationabouthowpatientscanmakeacomplaintshouldbemoreeasilyaccessibleontheprovider’swebsite.Theprocedureshouldincludethecontactdetailsofwhocomplaintsshouldbedirectedtoatthepracticeandarecordshouldbemadeofthedateresponsesweremadetocomplainants.
Should-do action 9 of 10
Should do
Well-led
Thesystemsforgatheringpatientfeedbackshouldbereviewedtoensurethatthisinformationisroutinelysought.
Should-do action 10 of 10
Should do
Responsive
Thewebsiteshouldcontaininformationtodescribetheservicesofferedforpatientssuchasthestaffavailable,clinicsanditshouldprovidehealthpromotioninformation.

Location details

CQC ID: RXAKH
Local authority: Cheshire West and Chester
Region: North West

Inspection report

Type: Comprehensive inspection
Date: 25 April 2017
Rating: Good
Actions: 10 should-do
AI-extracted 3 Jun 2026