Archived: Dr Claire-Louise Hatton Also known as The Jubilee Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Claire-Louise Hatton on 2 August 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• The practice demonstrated an open and transparent approach to safety. There were systems in place to enable staff to report and record significant events. Learning from significant events was shared with relevant staff and stakeholders.
• Risks to patients were assessed and managed. A wide range of risk assessments were in place and were regularly reviewed and monitored.
• Staff delivered care and treatment in line with evidence based guidance and local guidelines. Training had been provided for staff to ensure they had the skills and knowledge required to deliver effective care and treatment for patients.
• Clinical audits were undertaken and showed improvements in the quality of care provided to patients.
• Feedback from patients was that they were treated with kindness, dignity and respect and were involved in decisions about their care.
• 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.
• The practice proactively sought feedback from patients and staff through surveys.
• Patients said they could access appointments when they needed them with appointments available to book up to five weeks in advances and urgent appointments available on the day.
• There was a clear leadership structure which all staff were aware of. Staff told us they felt supported by the senior staff within the practice.
• There was a clear vision and mission which was shared with patients on the website and throughout the practice.
• The provider was aware of and complied with the requirements of the duty of candour.

We saw one area of outstanding practice:

• The provider had an agreement in place with CityCare to enable the practice to provide more flexible care for their patients. As part of the agreement the lead GP worked for one day per week at the Urgent Care Centre in Nottingham supporting and mentoring clinical staff to obtain their prescribing qualifications. In return the practice was supported by three advanced nurses (who were employed by CityCare) who worked at the practice three days per week. This led to an increase in clinical capacity within the practice. This had also contributed to a reduction in the emergency admissions to hospital and a reduction in the rate of patients not attending for appointments.

The areas where the provider must make improvements are:

Implement effective arrangements to ensure the proper and safe management of medicines within the practice including:

• Arrangements to identify and dispose of expired medicines
• The safe storage of controlled drugs in line with legislation
• General security of the dispensary including secure windows and limiting the personnel who could access the dispensary

The areas where the provider should make improvement are:

• Ensure there are systems in place manage the security of blank prescriptions in line with guidance
• Ensure the storage of medicines in the dispensary below 25 degree centigrade

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice