This practice is rated as Good overall. (Previous inspection 16 December 2015 – Good)
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:
Older People – Good
People with long-term conditions – Good
Families, children and young people – Good
Working age people (including those recently retired and students – Good
People whose circumstances may make them vulnerable – Good
People experiencing poor mental health (including people living with dementia) - Good
We carried out an announced comprehensive inspection of Nethrgreen Surgery on 7 March 2018 as part of our inspection programme.
At this inspection we found:
- The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
- The practice reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
- Staff involved and treated patients with compassion, kindness, dignity and respect and feedback from patients about their care was consistently positive.
- Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
- Structures, processes and systems to support good governance and management were clearly set out, understood and effective.
- Openness, honesty and transparency were demonstrated when responding to incidents and complaints. The provider was aware of and had systems to ensure compliance with the requirements of the duty of candour.
- There was a clear leadership structure and staff stated they felt respected, supported and valued. They felt part of a team and were proud to work in the practice.
We saw one area of outstanding practice:
- The practice had recently implemented a digital asthma review system for patients who had failed to attend their annual review appointment to assess and ensure their asthma was adequately managed.
The areas where the provider should make improvements are:
- Review access to the blank prescription stationery cupboard key.
- Review the timeliness of requesting disclosure and barring service (DBS) checks for new staff as specified in the recruitment policy.
- Review the procedure for recording safeguarding incidents in the patient record.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice