Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at The Goodinge Group Practice on 22 April 2015.
Overall the practice is rated as Good. Specifically, we found the practice to be good for providing, safe, effective, caring, responsive and well-led services. It was also good for providing services to the six population groups we looked at: older people; people with long-term conditions; families, children and young people; working age people (including those recently retired and students); people whose circumstances may make them vulnerable; and people experiencing poor mental health (including people with dementia).
Our key findings were as follows:
- Patients were protected from risk of harm because systems and processes were in place to keep them safe.
- Staff were clear about reporting incidents, near misses and concerns and there was evidence of communication of lessons learned with staff.
- The practice worked in collaboration with other health and social care professionals to support patients’ needs and provided a multidisciplinary approach to their care and treatment.
- The practice promoted good health and prevention and provided patients with suitable advice and guidance.
- The practice had several ways of identifying patients who needed additional support, and was pro-active in offering this.
- The practice provided a caring service. Patients indicated that staff were caring and treated them with dignity and respect. Patients were involved in decisions about their care.
- The practice provided appropriate support for end of life care and patients and their carers received good emotional support.
- The practice learned from patient experiences, concerns and complaints to improve the quality of care.
- The practice had a clear ethos that put patients first and was committed to providing the best possible service to them.
- There was an open culture and staff felt supported in their roles.
However, there were also areas of practice where the provider needs to make improvements which are:
- Develop the practice’s own policy for safeguarding of vulnerable adults;
- Ensure the records of interview and selection decisions are retained;
- Complete the consideration of future provision of mandatory staff training and make arrangements for update training in areas where there are currently some gaps, for example, in fire safety and infection control training;
- Review the practice’s consent protocol to ensure mental capacity is appropriately taken into account; and
- Ensure the practice’s mission statement is communicated to all staff.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice