• Doctor
  • GP practice

Archived: HOLDERNESS HEALTH OPEN-DOOR SURGERY

Overall: Requires improvement read more about inspection ratings

700 Holderness Road, Hull, North Humberside, HU9 3JA (01482) 335234

Provided and run by:
Dr Rehab Alsudani

All Inspections

5 July 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Holderness Health Open-Door Surgery on 5 July 2017. The overall rating for the practice was requires improvement.

Our key findings across all the areas we inspected were as follows:

  • There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
  • The practice did not have clearly defined and embedded systems to minimise risks to patient safety, in relation to recall of patients on high risk medication and managing alerts.
  • Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
  • Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available.
  • Patients we spoke with said they found it easy to make an appointment with the GP and there was continuity of care, with urgent appointments available the same day.
  • The practice had good 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 areas where the provider should make improvements are:

  • Although patient feedback is being sought in other ways the practice should explore ways of introducing and implementing a patient participation group (PPG) to drive improvement through further suggestions from a patient perspective.

  • Consider implementing a system to conduct an analysis of all significant events to assess the trends and impact on patients and the service.

  • Plan and conduct multi-disciplinary meetings for patients with defined needs in order to meet their care in a timely manner.

  • Ensure all complaints are managed in accordance with procedures in respect of complaint outcomes and reference to other agencies.

  • Implement systems to ensure infection control audits and any actions identified are completed and monitored in a timely manner.

The areas where the provider must make improvements are:

  • Ensure care and treatment is provided in a safe way to patients, which meets their needs and reflects their preferences.

  • Ensure recruitment procedures are established and operated effectively to ensure only fit and proper persons are employed. 

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice