Letter from the Chief Inspector of General Practice
This is the report of findings from our inspection of Dr Dutton and Partners. Dr Dutton and Partners is registered with the Care Quality Commission to provide primary care services.
We undertook a planned, comprehensive inspection on 04 December 2014 at the practice location. We reviewed comment cards completed by patients, spoke with patients and staff.
The practice was rated as Good. A caring, effective, responsive and well- led service was provided that met the needs of the population it served. However, improvements were needed to ensure the practice was operating safely.
Our key findings were as follows:
- There were systems in place to protect patients from avoidable harm, such as from the risks associated with medicines and cross infection. However, improvements were needed to the recruitment of staff as the recruitment records did not demonstrate that all necessary checks were undertaken to demonstrate suitability for their roles. Improvements were also needed to the fire safety systems at the premises because the provider did not ensure that fire safety equipment was properly maintained and suitable for its purpose. We found improvements should be made to the systems for managing prescription pads, emergency medication and equipment.
- Patients care needs were assessed and care and treatment was considered in line with best practice national guidelines. Staff were proactive in promoting good health and referrals were made to other agencies to ensure patients received the treatments they needed.
- Patients were very positive about the care they received from the practice. They commented that they were treated with respect and dignity, staff were caring, supportive and helpful. Patients felt involved in decision making around their care and treatment.
- The practice planned its services to meet the differing needs of patients. The appointment system in place allowed good access to the service. Improvements were needed to the premises to enable better access for patients with a disability. The GP partners were in the process of applying for funding to extend and improve the facilities to offer better disabled access and provide more room for current and further clinical services. The practice encouraged patients to give their views about the services offered and made changes as a consequence.
- The practice had a clear vision and set of values. The practice had systems to seek and act upon feedback from patients using the service. Quality and performance were monitored, risks were identified and managed.
There were areas of practice where the provider needs to make improvements.
Importantly, the provider must:
- Take action to ensure its recruitment arrangements are in line with Schedule 3 of the Health and Social Care Act 2008 to ensure the necessary employment checks are in place for all staff.
- Take action to protect patients against the risks associated with unsafe equipment by ensuring that fire safety equipment is properly maintained and suitable for its purpose.
The provider should:
- Ensure the serial numbers of all prescription pads are recorded and improve the systems for checking and recording that emergency medication and equipment are suitable for use.
- Review the policies and procedures available for staff to ensure they have access to the information they require. A complaint policy and procedure should be available for patients to refer to.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice