Letter from the Chief Inspector of General Practice
We inspected Dr Ninan and Partners on 19 November 2014 as part of our new comprehensive inspection programme.
We reviewed information provided to us leading up to the inspection and spent nine hours at the main surgery and branch surgery, speaking to nine members of staff, six patients and reviewed 42 comment cards which patients had completed leading up to the inspection. From all the evidence gathered during the inspection process we have rated the practice as good.
During our inspection the comments from patients were positive about the care and treatment they received.
Feedback included individual praise of staff for their care and kindness and going the extra mile.
Our key findings were as follows:
- Patients said they were treated with compassion, dignity and respect and they were involved in care and treatment decisions.
- Majority of patients reported good access to the practice and a named GP and continuity of care, with urgent appointments available the same day.
- Staff understand their responsibilities to raise concerns, and report incidents.
- The practice is clean and well maintained.
- There are a range of qualified staff to meet patients’ needs and keep them safe.
- The practice works with other health and social care providers to achieve the best outcomes for patients.
However, there were also areas of practice where the provider needs to make improvements.
Importantly, the provider must:
The practice did not follow current guidance when prescribing hypnotic medicines and did not have systems in place to appropriately prescribe and use hypnotic medication.
In addition the provider should:
- The practice did not have policy and procedures in place for staff to ensure they take appropriate action where people did not have the capacity to consent in line with the Mental Capacity Act 2005.
- 57.8% of patients experiencing poor mental health had a care plan in place, however this was 28.1% below the national average.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice