The Care Quality Commission
  • Doctor
  • GP practice

Abbeywell Surgery Also known as Abbey Mead Surgery, Romsey

Overall: Good read more about inspection ratings

The Abbey, Romsey, Hampshire, SO51 8EN (01794) 512218

Provided and run by:
Abbeywell Surgery

All Inspections

During an assessment under our new approach

Date of assessment 28 February to 1 March 2024.

We conducted a responsive assessment to follow up information of concern shared with CQC. The practice was fully cooperative throughout the process and our assessment identified no breaches of regulation.

22 August 2019

During an inspection looking at part of the service

Previously we carried out an announced comprehensive inspection at Abbeywell Surgery on 10 July 2018. We rated the practice good overall and requires improvement for providing effective services. We issued a requirement notice and asked the provider to take action.

In order to follow up on the regulation breach we completed a a desk based follow up inspection in August 2019, where we requested information in order to determine whether the concerns we identified had been rectified. We did not visit the practice.

We based our judgement of the quality of care at this service on a combination of:

•Information provided to us by the practice.

•Information from our ongoing monitoring of data

We have rated this practice as good for the provision of effective services and the practice retained its overall rating of good from 2018.

We found that:

•Training was monitored to ensure staff had the awareness and skills they needed to provide care effectively and safely.

The provider also took action regarding other areas of improvement we asked them to consider but these areas did not form part of the regulatory breach and the associated requirement notice.

•The storage of medicines in fridges had been reviewed and new processes were in place. This ensured that staff were aware of their monitoring responsibilities. We saw evidence to demonstrate that fridge temperature records indicated medicines were being stored safely..

•Patient feedback regarding the appointment system had been reviewed again in 2019 and the practice was continuing to act on this. For example, a new appointment system had been implemented and programmes to communicate this with patients to help them navigate it had been underway. The new system went live in June 2019.

•Action had been taken to improve the uptake of childhood immunisations. This included more robust systems to recall children via guardians or parents who missed their vaccinations.

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

During a routine inspection

This practice is rated as Good overall. (Previous rating July 2016– Good)

The key questions at this inspection are rated as:

Are services safe? – Good

Are services effective? – Requires Improvement

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

We carried out an announced comprehensive inspection at Abbeywell Surgery on 10 July 2018 as part of our inspection programme.

At this inspection we found:

  • The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.
  • There was a focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider must make improvements are:

  • Ensure persons employed in the provision of the regulated activity receive the appropriate training necessary to enable them to carry out the duties.

The areas where the provider should make improvements are:

  • Review the safe storage of medicines which require refrigeration.
  • Review processes to improve uptake of childhood immunisations.
  • Review access to appointments to improve patient satisfaction.

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Please refer to the detailed report and the evidence tables for further information.

26 July 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Abbeywell Surgery, The Abbey, Romsey, Hampshire, SO51 8EN on 26 July 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
  • The provider was aware of and complied with the requirements of the duty of candour.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice