This practice is rated as requires improvement overall. (Previous inspection 3 June 2015 – Good)
The key questions are rated as:
Are services safe? – requires improvement
Are services effective? – requires improvement
Are services caring? – good
Are services responsive? – good
Are services well-led? - requires improvement
We carried out an announced comprehensive at Dr Marianne Ford on 12 June 2018 as part of our inspection programme.
At this inspection we found:
- The practice did not always have clear systems to identify and manage risk so that safety incidents were less likely to happen.
- The practice did not have a systematic approach to review the effectiveness and appropriateness of the care it provided.
- Staff involved and treated patients 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.
- Staff were encouraged to develop through the organisation including from administration in to clinical roles.
We saw one area of outstanding practice:
There was a strong, visible, patient-centered culture across the practice. Staff were highly motivated and inspired to offer care that was kind and promoted people’s dignity. Relationships between people who used the service, those close to them and staff were caring and supportive. These relationships were highly valued by all staff and the GP. This was evident by the high number of carers identified and supported by the all members of the team. People’s emotional and social needs were as important as their physical needs and all members of the team took an active role in referring patients and their carers to the local care navigator when necessary to help ensure necessary and timely support was given.
The areas where the provider must make improvements as they are in breach of regulations are:
- Ensure care and treatment is provided in a safe way to patients
- Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
The areas where the provider should make improvements are:
- Review and improve how patients’ pain is recorded in their notes.
- Review and improve security of patients notes when the premises are not staffed.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice