This practice is rated as Good overall. Previous inspection November 2014 - Outstanding
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
We carried out an announced comprehensive inspection at Wigton Group Medical Practice on 10 April 2018 as part of our inspection programme.
At this inspection we found:
- The practice had systems to keep patients safe and safeguarded from abuse. However, there was no formal process in place to ensure that locum clinicians were up to date with mandatory training requirements.
- 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 they provided. They ensured that care and treatment was delivered according to evidence- based guidelines.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- The practice organised and delivered services to meet patients’ needs. They took account of patient needs and preferences.
- Patients were able to access care and treatment from the practice within an acceptable timescale for their needs.
- There was a focus on continuous learning and improvement at all levels of the organisation. The practice proactively used performance information to drive improvement. However, at the time of our inspection not all staff had been given the opportunity of an annual appraisal.
We saw an area of outstanding practice:
- The practice had introduced ‘after GP’ appointments so that patients identified by the GP during an appointment as requiring blood and other tests could be seen immediately by a healthcare assistant. This meant that patients did not have to make another appointment and that they could receive any treatment they may need quicker. In addition this freed up routine appointment slots with nursing and health care staff and relieved pressure on reception staff.
However, there are areas where the provider should make improvements:
- The provider should continue with their plans to give all staff members the opportunity on an annual appraisal
- The provider should review and update their recruitment policy so that it includes details of the need to undertake all relevant pre-employment checks. They should also put a process in place to check that locum staff are up to dare with mandatory training before employment.
- They should improve current processes so that learning and trends and themes arising from significant events and incidents are shared with all staff at regular minuted meetings as a standard agenda item.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice