This practice is rated as Good overall. (Previous rating 25/11/2014– 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 inspection at Davenal House Surgery on 12 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. We received positive comments from patients who had completed CQC comment cards.
•Patients found the appointment system easy to use and reported that they were able to access care when they needed it. Patients were positive about having telephone access to GPs.
•One of the practice nurses carried out home visits to elderly housebound patients and visited them if they had falls or when they had been discharged from hospital.
•There was a strong focus on continuous learning and improvement at all levels of the organisation. The trainees at the practice gave positive feedback about the support and training they have received.
•The practice was recently given an award from the Deanery for the high quality support offered to trainees.
•The practice had developed innovative ways of using the IT system in order to respond to patients’ needs.
There were a few areas where the practice should make improvements:
•Ensure all staff are aware who the safeguarding lead is.
•Ensure all members of staff have received annual appraisals.
•Record near misses at the dispensary and ensure the date on which medicines are checked is recorded in the dispensary as this was not always formalised.
•Ensure the door of the dispensary is kept locked at all times.
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.