Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr Jedrzejewski and partners on 28 July 2015. Overall the practice is rated as requires improvement.
Specifically, we found the practice to be good for providing, effective, caring and responsive services. It required improvement for providing safe and well led services. The concerns that led to the practice requiring improvement for providing safe and well-led services applied to all the population groups. Therefore the practice requires improvement for the care of older people, people with long term conditions, for providing services to 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 across all the areas we inspected were as follows:
- Most staff understood and fulfilled their responsibilities to raise concerns, however some reporting of incidents and near misses did not take place. Evidence of learning from incidents was limited.
- Risks to individual patients were assessed and well managed but there was no systematic approach to clinical governance within the practice.
- Patients’ needs were assessed and care was planned and delivered following best practice guidance.
- In some areas staff had received training appropriate to their roles. The practice had identified other areas where training had not been kept current and was addressing this.
- 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.
- Patients said they found it easy to make an appointment with a named GP and that there was continuity of care, with 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. Evidence of governance was limited as was evidence of communication across the practice. There were departmental meetings but no forum or other mechanism to share learning and direction across the whole practice.
There were areas of practice where the provider needs to make improvements.
Importantly the provider must:
- Ensure a systematic approach to reporting, recording and monitoring significant events, incidents and accidents.
- Ensure there are formal governance arrangements in place and staff are aware how these operate, including maintaining the cleanliness and fabric of the building.
In addition the provider should:
- Review staff training to link this to personal development plans and practice’s needs.
- Review staff files to ensure that all contain the required information
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice