Archived: Dr Adebisi and Partners

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Adebisi and Partners Surgery on 11 May 2016. Overall the practice is rated as good.

Our key findings across all the areas we inspected were as follows:

• There was an established and effective system in place for reporting and recording significant events. However, improvement could be made in the documenting of subsequent decisions and actions.
• Safety alert information was appropriately actioned.
• Staff understood and were confident identifying and escalating safeguarding concerns. The practice followed up on non-attendance by vulnerable persons at hospital appointments.
• Risks to patients were assessed and well managed with health and safety and infection prevention control processes in place.
• Staff assessed needs and delivered care in line with current evidence based guidance and standards.
• Data from the Quality and Outcomes Framework (QOF) showed patient outcomes were at or above average compared to the national average. The practice had achieved 98% of the points available and was not an outlier for any data.
• Staff received detailed inductions, training and performance and development reviews to undertake their roles and deliver effective care and treatment.
• The practice had appointed a carer’s champion and staff had access to a range of helpful literature.
• The practice provided a range of services, offering extended hours on a Saturday morning and open access daily to their nursing team.
• Some patients said they experienced difficulties making a GP appointment. Urgent appointments and telephone appointments were available on the day.
• The practice had good facilities and was well equipped to treat patients and support them to self-manage their conditions.
• The practice were planning to merge with their neighbouring practice to provide a sustainable service to meet the growing needs of their patient groups.
• The practice had an active Patient Reference Group who worked with the practice on promoting health campaigns.
• There was an overarching governance framework which supported the delivery of the strategy and good quality care. This included arrangements to monitor and improve quality and identify risk.
• The practice staff told us they enjoyed their work and felt valued.

The areas where the provider should make improvement are:

• Ensure comprehensive cleaning records are maintained.
• Ensure records of multidisciplinary meetings and significant incidents are comprehensively minuted including persons in attendance, actions assigned, updated or reviewed.
• Read code patients for failure to attend hospital appointments.
• Ensure the clear documenting of decisions and actions relating to the investigation and review of significant incidents.
• To improve patient experiences of the service in response to the survey data.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice