Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Stoke Gifford Medical Centre
on 5 July 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 significant events.
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Risks to patients were assessed and well managed, however, where the partners had delegated authority to staff to undertake areas of work within the practice, processes were needed to ensure there was continuous clinical oversight of these areas. Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
- 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. Improvements were made to the quality of care as a result of complaints and concerns.
- Patients said there were 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.
- The provider was aware of and complied with the requirements of the duty of candour.
The areas where the provider should make improvement are:
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The partners had delegated authority to staff to undertake areas of work within the practice, such as dissemination of patient safety alerts, patient medicines changes and exception reporting, however, the processes to ensure there was continuous clinical oversight of these areas should be further developed.
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Where a patient’s mental capacity to consent to care or treatment was assessed the outcome of the assessment should always be recorded on the patient record.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice