Archived: St Peter's Road Surgery

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of this practice on 19 April 2016.

During our inspection we found a breach of legal requirements relating to the overview of systems and processes and the monitoring of risks to patients. After the comprehensive inspection, the practice wrote to us, to say what they would do to meet the legal requirements in relation to meeting Regulation 12 of the Health and Social Care Act (Regulated Activities) Regulations 2014 Safe care and treatment.

We undertook this focused inspection to check that they had followed their plan and to confirm that they now met the legal requirements. This report only covers our findings in relation to those requirements and should be read in conjunction with the full report. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for St Peter's Road Surgery on our website at www.cqc.org.uk. We found the practice had made improvements since our last inspection on 19 April 2016 and they were meeting the regulation that had previously been breached.

Specifically the practice was operating safe systems in relation to the overview of systems and processes and the monitoring of risks to patients. This included:

• Ensuring systems and processes for the processing of results and correspondence were reviewed and acted upon in a timely way.

• The process for recalling and issuing repeat prescriptions for patients on high risks medicines were reviewed to ensure those patients were monitored in line with current guidance.

We have changed the rating for this practice to reflect these changes. The practice is now rated good for the provision of safe, effective, caring, responsive and well led services.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at St Peter’s Road Surgery on 19 April 2016. Overall the practice is rated as good.

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

• There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
• Risks to patients were assessed and well managed.
• 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.
• 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. Improvements were made to the quality of care as a result of complaints and concerns.
• Patients said they found it easy to make an appointment with a named GP and 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.
• The provider was aware of and complied with the requirements of the duty of candour.

We saw one area of outstanding practice:

• The practice had been awarded a gold award from the Lesbian, Gay, Bisexual and Trans-gender foundation’s Pride in Practice for their ongoing commitment towards inclusive service delivery and commitment towards the local community.

The areas where the provider must make improvement are:

• Ensure there are robust and effective systems in place to ensure patients on high risk medicines or those who require regular monitoring are actively followed up in line with national guidance.

• Ensure there is an effective and robust system for the timely action of correspondence and results relating to patients.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice