Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Rushbottom Lane, also known as Dr Khan and Partners on 23 February 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
- There was an open and transparent approach to safety and an effective system in place for reporting and recording and analysing significant events, however there was no system in place to ensure actions were followed up.
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
- The practice had arrangements in place to deal with emergencies.
- Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
- Information about services and how to complain was available and easy to understand.
- Complaints were dealt with in a timely manner, however no analysis took place to identify themes in order to make changes and drive improvement.
- Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
- The practice had good facilities and 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.
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The provider was aware of and complied with the requirements of the Duty of Candour.
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There was a program of clinical audits, however very few of these demonstrated improvements in patient outcomes.
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Risks to patients were not all assessed and well managed. The practice had not undertaken a fire or legionella risk assessment.
The areas where the provider must make improvement are:
The areas where the provider should make improvements are:
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Conduct periodical reviews of complaints to identify themes and drive improvement.
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Ensure the improvement actions resulting from the analysis of significant events are reviewed to check actions were carried out.
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Ensure clinical audits can demonstrate actions taken to drive improvement.
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Ensure they are identifying carers in order to offer them the care and support required.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice