Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Carterknowle and Dore Medical Practice on 21 September 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.
- Risks to patients were assessed and well managed.
- 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 they were able to make a routine appointment with a named GP if they were willing to wait although urgent appointments were available the same day through the telephone triage system.
- 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.
We saw one area of outstanding practice:
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The practice had arranged, independent to the locally commissioned service, an extra collection of pathology samples from the practice to the laboratory at the end of the day. This meant the practice could offer late afternoon appointments for blood tests to patients who were not able to attend during the day.
The areas where the provider should make improvement are:
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Ensure staff who perform chaperone duties follow the practice’s own chaperone policy with regards to recording the event.
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Improve the security arrangements for the clinical waste storage bins stored outside the practice.
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Consider how to promote to patients that there is a private area available should they wish to discuss confidential issues away from the front desk and review ways to reduce hearing what is being said at the reception desk in the waiting room.
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Review and develop an action plan to address low satisfaction scores identified on the latest national patient survey with regard to access.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice