15 September & 4 October 2016
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at The Great West Surgery on 15 September and 4 October 2016. 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 report incidents and near misses. All opportunities for learning from internal and external incidents were maximised.
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
- Feedback from patients about their care was consistently positive.
- The practice implemented suggestions for improvements and made changes to the way it delivered services as a consequence of feedback from patients and from the patient participation group.
- The practice had good facilities and was well equipped to treat patients and meet their needs.
- The practice had a clear vision which had quality and safety as its top priority. The strategy to deliver this vision had been produced with stakeholders and was regularly reviewed and discussed with staff.
- The practice had strong and visible clinical and managerial leadership and governance arrangements.
- High standards were promoted and owned by all practice staff and teams worked together across all roles.
There were areas of practice where the provider should make improvements:
- Continue to work to identify patients who are carers so their needs can be identified and met.
- Carry out regular fire evacuation drills to ensure patients and staff are clear about what to do in an emergency.
- Implement an action plan to address their relatively low scores for the caring questions on the GP survey
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice