Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Earnswood Medical Centre on 13 October 2015. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
- Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
- Risks to patients were assessed and well managed.
- Patient’s needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
- Patients said they were treated with compassion, dignity and respect and they were involved in decisions about their care and treatment.
- Information about services and how to complain was available and easy to understand.
- Patients said they did not find it easy to make an appointment with a named GP, however there was continuity of care, with urgent appointments available the same day. The practice had recognised the need to improve access to appointments and was working to improve this.
- The practice had good facilities and was well equipped to treat patients and meet their needs.
- There was a clear leadership structure and most staff felt generally well supported by management. However, nursing staff had been adversely affected by several colleagues having left the practice recently, leaving them feeling somewhat unsupported.
- The practice proactively sought feedback from staff and patients. The management had been slow to react to pressure from patients to improve access to appointments.
We saw one area of outstanding practice:
- The practice provided very personal and patient centred care to elderly people living in care homes in the locality. GPs made very regular visits to homes and provided care home management with their personal contact details in order that they could provide advice outside surgery hours.
However there were areas of practice where the provider needs to make improvements.
Importantly the provider MUST:
- Review and improve access and availability of routine patient appointments.
Additionally the provider should:
- Produce and embed a mission statement or vision for the practice.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice