We carried out an announced comprehensive inspection at Lakeside Healthcare Stamford on 28 November 2018 as part of our inspection programme. We inspected both sites at Sheepmarket Surgery and St Mary’s Medical Centre. Both sites had been inspected previously and had been rated good overall. We inspected St Marys Medical Centre as part of our inspection programme in June 2017. Sheepmarket Surgery was inspected in February 2015 and rated requires improvement overall. We carried out follow up inspections in April and September 2017 to check improvements had been made and as a result, the practice was rated as good overall.

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

• what we found when we inspected
• information from our ongoing monitoring of data about services
• information from the provider, patients, the public and other organisations and
• patient interviews with Healthwatch.

We have rated this practice as good overall and for all population groups.

We found that:

• There was an effective system for high risk drug monitoring.
• Performance data was in line with local and national averages.
• We saw evidence of systems and processes for learning, continuous improvement and innovation.
• Although the practice had clear processes for managing risks, these were not always followed through and actioned.
• The practice provided care in a way that kept patients safe and protected them from avoidable harm.
• Patients received effective care and treatment that met their needs and patients we spoke with told us they were treated with kindness and compassion.
• We saw staff dealt with patients respectfully and involved them in decisions about their care.
• The practice organised and delivered services to meet patients’ needs.
• The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

Whilst we found no breaches of regulations, the provider should:

• Audit nurse prescribing and implement a system to provide oversight of nurses working in the same day clinics.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

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