Archived: Dr Susan Mathew Also known as Kingsway Surgery

Letter from the Chief Inspector of General Practice

We carried out a focused desk-based inspection of Dr Susan Mathew, also known as Kingsway Surgery on 15th August 2016 to check that improvements had been made.

At our previous inspection of 25th January 2016, the practice was rated as good overall. It was rated as good for providing effective, caring, responsive and well-led services, although it was rated as requires improvement for providing safe services. As a result of our inspection of 25th January  2016, the practice were issued with a requirement notice for improvement.

Necessary improvements have been made, and the practice is now rated as good across all domains.

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

• A legionella risk assessment had been carried out to check the risk of exposure to legionella at the practice;
• Patient Group Directions had been correctly signed to ensure that clinicians were authorised to administer certain medicines;
• A health and safety risk assessment had been carried out;
• The business continuity plan now contained telephone numbers for staff and other agencies. 

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at 25 January 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.

• Staff assessed patients’ needs and delivered care in line with current evidence based guidance.

• Patients praised the kind, sensitive attitude of all staff and the treatment they had received from the GPs and nurses.

• Information about services and how to complain was available and easy to understand.

• Feedback from the GP survey was positive, with patients indicating that their experience of making an appointment was good.

• The practice had an active Patient Participation Group which had been involved in implementing improvements.

• 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 areas where the provider must make improvement are:

• Ensure the safe and proper use of patient group directions.

• Assess the risk of legionella by a suitably qualified person.

The areas where the provider should make improvement are:

• Complete and review relevant risk assessments for the general health and safety of people who use the premises.

• Include emergency contact numbers for staff or relevant agencies in the business continuity plan.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice