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Inspection Summary


Overall summary & rating

Good

Updated 25 March 2020

We carried out an announced comprehensive inspection at Netherton Practice on 24 February 2020 as part of our inspection programme.

At this inspection we followed up on breaches of regulations identified at a previous inspection on 11 December 2018.

This inspection looked at the following key questions:

Safe

Effective

Caring

Responsive

Well-led

At the last inspection in December 2018 we rated the practice as requires improvement for providing safe and well-led services because:

  • The systems in place for safeguarding patients were not fully effective.
  • Governance systems were not fully effective in monitoring the service, managing risks and driving improvement.

At this inspection we found that the provider had satisfactorily addressed the above areas.

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
  • information from the provider, patients, the public and other organisations.

We have rated this practice as good overall and good for all population groups.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients received effective care and treatment that met their needs.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of good quality, person-centre care.

Whilst we found no breaches of regulation, the provider should:

  • Review safeguarding arrangements to include setting up an alert for relevant others for children at risk.
  • Introduce a programme of clinical audit as part of the clinical governance in an aim to improve outcomes for patients.
  • Provide reception staff with sepsis awareness training to support them in dealing with patients presenting with potential sepsis.
  • Review Patient Group Directions (PGDs) to ensure designated people have been authorised to administer the vaccines.
  • Monitor unplanned hospital admissions and readmissions.
  • Continue to monitor and encourage cancer screening uptake for all eligible patients.
  • Look to increase the number of identified carers to ensure these patients are provided with appropriate support.
  • Continue to encourage uptake of patients to form a Patient Participation Group.

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 areas

Safe

Good

Effective

Good

Caring

Good

Responsive

Good

Well-led

Good
Checks on specific services

People with long term conditions

Good

Families, children and young people

Requires improvement

Older people

Good

Working age people (including those recently retired and students)

Good

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good