14 March 2018
During a routine inspection
This practice is rated as Good overall. (Previous inspection 01 2016 – Good)
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:
Older People – Good
People with long-term conditions – Good
Families, children and young people – Good
Working age people (including those recently retired and students – Good
People whose circumstances may make them vulnerable – Good
People experiencing poor mental health (including people with dementia) – Good
We carried out an announced comprehensive inspection at The Penrhyn Surgery on 14 March 2018 as part of our inspection programme.
At this inspection we found:
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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.
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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.
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There was evidence of quality improvement and the practice made good use of clinical audits.
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Clinical guidelines and patient safety alerts were discussed in clinical meetings where learning was shared.
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Staff involved and treated patients with compassion, kindness, dignity and respect.
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Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
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The practice had clear systems for acting on responding to and learning from complaints.
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The practice carried out annual risk assessments including infection prevention and control, health and safety and fire safety.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice