30/07/2015
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Burnage Healthcare Practice on 30th July 2015. Overall the practice is rated as good.
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 with the exception of a system to check that changes were effective when things went wrong.
- Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and training needs were discussed regularly at practice meetings.
- 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.
- Each member of staff had been given a personal notebook by the GP and asked to record ideas, suggestions of any risk assessments and examples of good practice in order to indicate a culture of improvement. These had been in place since February 2015 and staff were finding them useful.
However there were areas of practice where the provider needs to make improvements.
Importantly the provider should :
- Ensure they complete their revalidation and update their safeguard training;
- Undertake training in order to support patients under the Mental Capacity Act 2005 Code of Practice;
- Introduce a system to check that actions that arise out of significant events, complaints, comments or audits, are implemented and are effective.
- Prepare and implement an induction pack for locum staff;
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice