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Newington Road Surgery Limited Good Also known as Newington Road Surgery

Reports


During an inspection to make sure that the improvements required had been made

We carried out an announced follow up inspection at Newington Road Surgery on 21 May 2019 to follow up on concerns identified during our comprehensive inspection on 12 June 2018. During the initial inspection of the surgery we found the practice to be good overall with requires improvement in well-led as they needed to improve their governance systems.

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and

This inspection was not rated as we did not review all elements of the well led domain.

We found that sufficient improvements had not been made to improve the rating of the service in the well-led domain, because:

  • The practice had introduced team meetings but these were not yet well established or effective.
  • On receipt of medicine alert information, the practice had not conducted appropriate checks on their clinical system and mitigated the risks to patients.
  • The practice had not maintained accurate information regarding children who were at risk or in need.
  • The practice had not followed up on children who were at risk, or in need who failed to attend clinical appointments with primary or secondary care.
  • The practice safeguarding policy did not address the disclosure of physical or sexual abuse.

The areas where the provider must make improvements are:

  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care
  • Ensure patients are protected from abuse and improper treatment

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Inspection carried out on 12 Jan 2018

During a routine inspection

This practice is rated as good overall. (Previous inspection 17/03/2015 – Good)

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? – requires improvement

We carried out an announced comprehensive inspection at Newington Road Surgery Limited on 12 June 2018. The practice was last inspected in 2015 and therefore was scheduled for inspection under the five-year inspection programme.

At this inspection we found:

  • The practice had 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 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.
  • The practice had a strong clinical performance.
  • Patients told us they were treated with compassion, kindness, dignity and respect.
  • Patients found the appointment system easy to use and reported that they could access care when they needed it.
  • The leadership at the practice was not cohesive and all partners did not subscribe to the same vision for the future.

The areas where the provider must make improvements as they are in breach of regulations are:

  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care

Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice

Inspection carried out on 17 March 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Newington Road Surgery Limited on 17 March 2015. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing safe, effective, caring, responsive and well-led services. It was also good for providing services for older people, people with long-term conditions, families, children and young people, working age people (including those recently retired and students), people whose circumstances may make them vulnerable and people experiencing poor mental health (including dementia).

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

  • Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
  • Risks to patients were assessed and well managed.
  • Patients’ needs were assessed and care was planned and delivered following best practice guidance.
  • Staff had received training appropriate to their roles, with the exception of safeguarding training for administration staff. Further training needs had been identified and the training planned.
  • 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, 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.

However there were some areas of practice where the provider needs to make improvements.

Importantly the provider should:

  • Review the training arrangements for administrative staff in relation to safeguarding children.
  • Review the process used by all GPs to monitor follow-up appointments / non-attendance of patients following abnormal blood test results.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 24 July 2013

During a routine inspection

People who used the service told us they were satisfied with the care and treatment they received. People told us they felt their needs and medical issues were taken seriously and dealt with appropriately.

We found that a touch screen facility for booking in for an appointment was available for people as well as reporting to reception so that staff knew they were there. People told us the staff treated them respectfully and were helpful. We saw that staff spoke politely to people and consultations were carried out in private treatment rooms.

Appropriate pre employment checks had been carried out and we found evidence that staff had received regular training, supervisions and appraisals. We found that the service had effective systems in place to monitor and assess the quality of the service that people received.