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Guy Barrington Staight - Pelham Street

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Inspection report

Date of Inspection: 18 July 2013
Date of Publication: 27 July 2013
Inspection Report published 27 July 2013 PDF | 78.64 KB

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Meeting this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 18 July 2013 and talked with staff.

Our judgement

The provider had an effective system to regularly assess and monitor the quality of service that people receive. The provider had an effective system in place to identify, assess and manage risks to the health, safety and welfare of people who use the service and others.

Reasons for our judgement

People who use the service, their representatives and staff were asked for their views about their care and treatment and they were acted on. The provider conducted regular surveys to give people using the service an opportunity to comment on their experiences of it. The most recent audit was carried out in November 2012 and was designed to get people's views about the practice website. The results showed 70% of people were not aware of the website. There was an action plan in place to improve patient use of the website to order medication and manage communication.

There was evidence that learning from incidents / investigations took place and appropriate changes were implemented. The provider took account of complaints and comments to improve the service. The doctors carried out a number of clinical audits to monitor and improve treatment and care. They attended monthly clinical meetings with another practice of a similar size to compare findings. The registered manager told us the doctors peer reviewed a sample of each others records to ensure professional standards of documentation and treatment pathways were maintained. The minutes documented discussions and the actions taken to remedy or make improvements in the service.