Letter from the Chief Inspector of General Practice
This practice is rated as Good overall. (Previous inspection 14 June 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 Mytton Oak Medical Practice on 2 November 2017 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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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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There was a strong focus on continuous learning and improvement at all levels of the organisation.
We saw one area of outstanding practice:
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The practice had identified an increase in younger patients with mental ill health including eating disorders and self-harm. They had proactively actioned their findings by supporting appropriate health education sessions on eating disorders and self-harm at a local school. They had noted these changes over a recent period of change at the school from a boys only to a co-education school. They had found increases in patient attendance and in the number of mental health referrals made. This was conducted in co-operation with the school itself, staff and school nurses.
The areas where the provider should make improvements are:
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Introduce a system to demonstrate any resultant actions taken to patient safety alerts.
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Consider implementing a concise care plan document for patients, carers or locum GPs from the coded information currently held in a template format.
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Consider the production of a dated, time scaled action plan following the Infection Prevention and Control audits.
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Consider developing and implementing a children’s and adult sepsis protocol for all staff to access.
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Enable a whole staff approach to the learning from significant event analysis annual reviews and the identification of any trends.
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Consider documenting the practice business strategy.
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Ensure that copies of the business continuity plan are held off site by all partners.
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Consider producing a practice organisational structure document, which includes staff identified as having specific lead roles.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice