This practice is rated as Good overall. (Previous rating September 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 Open Door Surgery on 21 November 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.
- Patients had access to walk-in GP service Monday to Friday where they could attend the surgery without an appointment; the patients we spoke to and comments cards we received indicated they found this system very helpful and reported that they were able to access care when they needed it. The provider offered pre-bookable nurse appointments in the main and branch surgery and pre-bookable GP appointments in the branch surgery.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
The areas where the provider should make improvements are:
- Review procedures in place to ensure there is a system in place to monitor the implementation of medicines and safety alerts.
- Review procedures in place to ensure appraisals for healthcare assistants have clinical input and their clinical support is generally improved.
- Review service procedures to ensure staff get protected learning time for training.
- Review procedures in place to ensure the patient participation group is led by patients.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.