Letter from the Chief Inspector of General Practice
We inspected Aspull Surgery on the 5th November 2014 as part of our new comprehensive inspection programme.
We reviewed information provided to us leading up to the inspection and spent seven hours on-site speaking to seven members of staff, six patients and reviewed 18 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.
- The appointment system was reviewed by the patients participation group (PPG) and changes made to better meet the needs of patients. 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.
- Data showed us patient outcomes were at or above average for the locality. People’s needs are assessed and care is planned and delivered in line with current legislation.
- The practice works with other health and social care providers to achieve the best outcomes for patients.
We saw several areas of outstanding practice including:
The patient participation group (PPG) working with a specialist activities instructor have established weekly health walks, with two patients being trained as walk leaders.
However, there were also areas of practice where the provider needs to make improvements.
Importantly the provider should:
We saw the practice had in place a detailed child protection and vulnerable adult’s policy and procedure. Within the policy it stated ‘All members of staff require child protection and safeguarding adult training as part of induction and renewed annually.’
Speaking with staff who acted as chaperones, they were clear of the role and responsibility but not all non-clinical staff had received training.
We noted whole prescription pads were issued to each GP for home visits, once these had been issued, no checks were in place to monitor the number or prescriptions used.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice