18 August 2015
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection on 18 August 2015. Overall the practice is rated as good.
Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the CQC at that time.
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.
- Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
- 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 sought feedback from staff and patients, which it acted on.
- Some outcomes including child immunisations, cervical screening rates and some Quality and Outcomes Framework (QOF) clinical indicators were below the national and local average.
However there were areas of practice where the provider needs to make improvements.
Importantly the provider should;
- Formalise staff meetings.
- Update the patient leaflet.
- Continue to monitor and improve those areas where clinical outcomes are lower than the national and local average.
- Establish an active Patient Participation Group (PPG).
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice