Letter from the Chief Inspector of General Practice
This practice is rated as Good overall. (Previous inspection July 2015 – 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 of this service under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. The inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
At this inspection we found:
- There was an open and transparent approach to safety and a system for reporting and recording significant events.
- The practice had clearly defined and embedded systems to help minimise risks to patient safety.
- Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
- The practice monitored outcomes for patients via a programme of audits that were used to make improvements to patient care.
- Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
- Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
- Patients we spoke with said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
- The practice facilities were limited by their listed building status but staff made adaptations and the practice was well equipped to treat patients and meet their needs.
- There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on. There was an active and highly engaged patient participation group (PPG).
- The provider was aware of the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.
The area where the provider should make improvement is:
- Continue to work towards moving to new premises in order to address the current issues with suitability of buildings and access arrangements.
- Consider providing a hearing loop in the practice to assist patients with hearing impairment.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice