5 March 2020
During an inspection looking at part of the service
Abbeyview Surgery had been inspected previously on the following dates: -
8 October 2015 under the comprehensive inspection programme. The practice was rated as Good overall. It was good for providing safe, effective, caring, responsive and well-led services.
It was outstanding for providing services to people with long term conditions and people who suffer with mental health including dementia. The practice was good for all the remaining population groups.
We carried out an announced comprehensive inspection at Abbeyview Surgery on 5 March 2020 following our annual review of the information available to us including information provided by the practice. Our review indicated that there had been a significant change to the quality of care provided since the last inspection.
The inspection focussed on the key questions of Safe, Effective and Well-led along with the population groups. Whilst on inspection we found significant improvements so we also looked at the Caring and Responsive key questions.
We based our judgement of the quality of care at this service on a combination of:
• What we found when we inspected
• Information from our ongoing monitoring of data about services and
• Information from the provider, patients, the public and other organisations
We have rated the practice as Outstanding overall.
The practice demonstrated a strong patient centred culture.
Results from the GP patient survey showed that patient’s satisfaction with patient experience and access to appointments were consistently higher than CCG and national averages.
We found that the practice had made patient needs and preferences central to its systems in place to ensure flexibility, choice and continuity of care.
The practice was committed to working collaboratively and had found innovative and efficient ways to deliver more joined-up care to people who used the services. There was a holistic approach to assessing, planning and delivering care and treatment and the practice identified innovative and efficient ways to deliver more joined-up care to patients.
We rated the practice as Good for providing a Safe service because we found:-
The practice had systems, practices and processes in place to keep people safe and safeguarded from abuse.
There were adequate systems to assess, monitor and manage risks to patient safety.
The practice had systems for the appropriate and safe use of medicines, including medicines optimisation.
We rated the practice as Outstanding for providing Effective services because we found:-
Outcomes for people who used services were consistently better than expected when compared with other similar services. The practice worked with hard to reach groups to make services accessible so we have also rated all the population groups as outstanding..
The practice used the information collected for the Quality and Outcomes Framework (QOF) and performance against national screening programmes to monitor outcomes for patients.
The practice was not an outlier for QOF (or any other national targets).
The practice was committed to working collaboratively and had found innovative and efficient ways to deliver more joined-up care to people who use services.
There was a holistic approach to assessing, planning and delivering care and treatment and the practice identified innovative and efficient ways to deliver more joined-up care to patients.
We rated the practice as Outstanding for providing a caring service because we found:-
The practice demonstrated a strong patient centred culture.
Results from the GP patient survey showed that patient’s satisfaction with patient experience and access to appointments were consistently higher than CCG and national averages.
The practice responded to patient feedback, acted on suggestions received and made improvements where possible. They had improved the appointment system to provide more continuity and availability to all the population groups.
We rated the practice as Outstanding for providing a responsive service because we found:-
We found that the practice had made patient needs and preferences central to its systems in place to ensure flexibility, choice and continuity of care.
The practice had enhanced the processes in place to ensure they could deliver both on the day and routine GP appointments in order to meet patients’ needs.
Results from the GP patient survey showed that patient’s satisfaction with how they could access care and treatment and overall experience was consistently higher than CCG and national averages.
Responsiveness, timely access and improvements to appointment availability was a benefit to all the population groups and so we have rated all the population groups as outstanding.
We rated the practice as Outstanding for providing a well-led service because we found:-
We saw that the leadership of this practice combined with their governance and culture were used to drive and improve the delivery of patient centred care.
The GP partners along with the practice team demonstrated they had the experience, capacity and capability to run the practice and ensure high quality and compassionate care.
Governance and performance management arrangements were proactively reviewed.
The practice had an active PPG and were very receptive to any changes and improvements suggested by patients and staff.
The leadership team drove continuous improvement and staff were accountable for delivering change. Practice leaders were innovative and openly shared their ideas with others. There was a clear proactive approach to seeking out and embedding new ways of providing care and treatment.
The areas where the provider should make improvements are:
- Improve oversight of the maintenance of the building to ensure risks are mitigated. For example, legionella water temperature monitoring.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care