25 February 2016
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection on 25 February 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
- There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
- Risks to patients were assessed and well managed.
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance.
- Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
- Patients said it was easy to make an appointment, 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 practice was aware of and complied with the requirements of the Duty of Candour.
- Staff had the skills, knowledge and experience to deliver effective care and treatment.
- There was an active patient participation group.
The areas where the practice should make improvement are:
- Arranging refresher training in relation to the Mental Capacity Act and regarding obtaining children’s consent to care and treatment.
- Formalising practice staff meetings and fully recording the discussions.
- Continuing with plans to set up a practice website.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice