6 August 2015
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr Pacynko (Meltham Village Surgery) on 6 August 2015. Overall the practice is rated as good.
Specifically we rated the practice as good in providing effective, caring, responsive and well-led services. However, it was rated as requires improvement for providing safe services. It was rated as good for providing services for all of the population groups.
Our key findings were as follows:
- Patients said they found it easy to make an appointment with the GP, there was continuity of care and urgent appointments were available the same day.
- Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
- There was a leadership structure and staff felt supported by the GP. The practice proactively sought feedback from staff and patients.
- Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded and addressed.
- Feedback from patients about their care and treatment was consistently and strongly positive. Patients were truly respected and valued as individuals. The practice showed a commitment to being compassionate and caring to all population groups.
However, there were areas of practice where the provider needs to make improvements.
Importantly, the provider should:
- Ensure fire risk assessments and fire drills are undertaken.
- Ensure all policies and procedures reflect current practice, such as business continuity, safeguarding and clinical governance.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice