18 & 25 November 2015
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Millbrook Surgery over two days on 18 and 25 November 2015. Since assuming responsibilities for the service 4 months ago, a comprehensive action plan had been put in place to ensure at systems and the premises were safe for patients and staff. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
- There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
- Risks to patients were assessed and well managed.
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
- Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
- Information about services and how to complain was available and easy to understand.
- Patients said they found it easy to make an appointment with a named GP and that there was continuity of care.
- The practice had facilities and was well equipped to treat patients and meet their needs.
- There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
- The provider was aware of and complied with the requirements of the Duty of Candour.
The provider should:
Audit patient record systems to provide assurance that data is continuously reliable for monitoring people with chronic health conditions.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice