Letter from the Chief Inspector of General Practice
Benchill Medical Practice was inspected on 2 July 2015. This was a comprehensive inspection. This means we reviewed the provider in relation to the five key questions leading to a rating on each on a four point rating scale. We rated the practice as good in respect of being effective, caring, responsive and well-led and requiring improvement in relation to being safe.
Our key findings were as follows:
The practice has systems in place for reporting, recording and monitoring significant events. Significant incidents and events are used as an opportunity for learning and improving the safety of patients, staff and other visitors to the practice.
The practice has systems in place to ensure best practice is followed. This is to ensure that people’s care, treatment and support achieves good outcomes and is based on the best available evidence.
Information we received from patients reflected that practice staff interacted with them in a positive and empathetic way. They told us that they were treated with respect, always in a polite manner and as an individual.
The practice reviewed the needs of its local population and engaged with NHS England and South Manchester Clinical Commissioning Group (CCG) to secure improvements to services where these were identified. The practice had taken action to address the concerns of some patients in respect of accessing timely appointments at the practice.
However, there were also areas of practice where the provider needs to make improvements.
Importantly, the provider must:
Improve the system of staff recruitment to ensure that patients are protected by operating effective recruitment and selection procedures that includes obtaining the required information and ensuring relevant checks are carried out (and evidenced) when staff are employed or are engaged in a role where such checks are required.
In addition the provider should:
We looked at records relating to how the practice team learnt from incidents and subsequently improved safety standards. The examples we looked at showed how incidents were investigated by defining the issue clearly and identifying what actions needed to be taken to address the risk and minimise or prevent it from happening again. However records lacked detail of what actions had been taken and how any improvements identified/made were monitored to ensure they were sustained. The provider should take action to review and improve these records.
Clinical audits were instigated from within the practice or as part of the practice’s engagement with local audits. However the completion of these audits was more focused on the individual professional development of clinicians and the provider should develop clinical audit further to enhance their existing systems to improve patient care and outcomes.
The complaints record detailed the nature of the complaint, the outcome of the investigation and how this was communicated to the person making the complaint. However to maximise learning from complaints and identify any developing trends in complaints received the provider should record a summary of all complaints received that can be reviewed regularly and discussed at practice meetings.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice