This practice is rated as Good overall. (Previous inspection 08/2017 – Requires Improvement)
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
We carried out an announced comprehensive inspection at The Neville Family Medical Centre on 5 June 2018.
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 significant event process had been improved with learning and follow ups included in the cycle.
- Staff demonstrated that they understood their responsibilities to safeguarding children and vulnerable adults. All staff had the approiate level of training in place.
- The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence-based guidelines.
- Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
- Results from the national GP patient survey had increased to show that patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
- The practice sponsored a local school and provided their rugby team with their sport kit.
We saw one area of outstanding practice :
- The practice nurse had developed a “Flare up” register for all patients with a respiratory disease (which are diseases of the airways and other structures of the lungs). The patients journey were closely monitored by the nurse. Administrative staff and patients were aware of the process and appointments were made for patients to ensure a continuity of care was maintained by the nurse. Patients were signposted to external support services and educated on symptoms and technics, whilst being provided with a flare up plan, using a flag system to identify symptoms and trigger alerts to seek help.
The areas where the provider should make improvements are:
- Increase the time the clinical partner spends in the practice to support the salaried GPs.
- Undertake a full premises / security risk assessment for the practice.
- Continue to increase and review the numbers of carers within the practice.
- Staff to access online training in equality and diversity and health and safety training.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice