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Watton Medical Practice Good

Inspection Summary


Overall summary & rating

Good

Updated 16 April 2018

We carried out an announced comprehensive inspection at Watton Medical Practice on 20 March 2018. The surgery was inspected on 15 August 2017 and rated as requires improvement overall; with a rating of requires improvement for all domains and population groups. The practice was given requirement notices for regulation 12 (safe care and treatment) and regulation 17 (good governance). This inspection was to inspect whether sufficient changes had been made in response to those requirement notices.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Good

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

At this inspection we found:

  • The practice had systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.

  • Arrangements were in place to support safe prescribing and the prescribing policy had been updated.

  • Infection prevention and control was well monitored in the practice. During this inspection there were no out of date items found in clinical rooms.

  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence-based guidelines.

  • We found some exception reporting was above local and national averages, however there was evidence that this had improved since the last inspection.

  • Staff involved and treated patients with compassion, kindness, dignity and respect.

  • The practice was aware of the low results for the GP Patient Survey and they had already changed the appointments system to improve access. The practice had also completed their own survey which showed marked improvements in patient satisfaction.

  • Staff reported that they felt confident about the changes made and were positive about the future of the practice.

  • There were infrequent administration and reception meetings to share learning. However, there were systems within the practice to keep staff up to date with information.

  • There was a strong focus on continuous learning and improvement at all levels of the organisation.

The areas where the provider should make improvements are:

  • Continue to review and improve exception reporting, specifically that relating to mental health.

  • Continue to review and improve patient satisfaction relating to access, specifically for outcomes relating to access via the telephone.

  • Continue to review and improve patient satisfaction relating to caring outcomes.

  • Improve the frequency of administration and reception staff meetings to ensure appropriate information is discussed.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection areas

Safe

Good

Updated 16 April 2018

Effective

Good

Updated 16 April 2018

Caring

Good

Updated 16 April 2018

Responsive

Good

Updated 16 April 2018

Well-led

Good

Updated 16 April 2018

Checks on specific services

People with long term conditions

Good

Updated 16 April 2018

Families, children and young people

Good

Updated 16 April 2018

Older people

Good

Updated 16 April 2018

Working age people (including those recently retired and students)

Good

Updated 16 April 2018

People experiencing poor mental health (including people with dementia)

Good

Updated 16 April 2018

People whose circumstances may make them vulnerable

Good

Updated 16 April 2018