This practice is rated as Good overall. (Previous rating February 2016 – Good)
The key questions at this inspection are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
We carried out an announced comprehensive inspection at Hollygreen Practice on 17 October 2018 as part of our inspection programme.
At this inspection we found:
- 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.
- 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.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Some patients reported difficulty getting through to the practice by telephone first thing in the morning . The practice was aware of this and taking measures to address it.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
We saw one area of outstanding practice:
- Practice staff had trained care home staff to take and record the resident’s vital signs to share with the GP when contacting the practice by telephone. This assisted the GP in calculating the early warning score and deciding the most appropriate response. For example, taking and recording the resident's blood pressure, temperature, respiratory rate and pulse readings.
The areas where the provider
should
make improvements are:
- Review the process to record on the patient record system the number of carers registered at the practice and those who circumstances may make them vulnerable to ensure they are up to date and accessible to all staff.
- Review the immunisation status and requirements of administrative and reception staff in line with the Green Book, Immunisation against infectious diseases for healthcare staff.
- Carry out checks of emergency medicines and equipment in line with the Resuscitation Council UK guidelines.
- Continue to review satisfaction with telephone access across all sites.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice