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Archived: HT Practice Good

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All reports

Inspection report

Date of Inspection: 12 December 2013
Date of Publication: 22 January 2014
Inspection Report published 22 January 2014 PDF

Staff should be properly trained and supervised, and have the chance to develop and improve their skills (outcome 14)

Meeting this standard

We checked that people who use this service

  • Are safe and their health and welfare needs are met by competent staff.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 12 December 2013, talked with people who use the service and talked with staff. We reviewed information given to us by the provider.

Our judgement

Patients' were cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard.

Reasons for our judgement

We wanted to know how staff were supported in their roles and what training they had access to. We discussed staff training and support for clinical and non-clinical staff employed at the practice with the practice manager, a practice nurse, a healthcare assistant and the head of reception. We saw a training matrix which detailed what training staff had completed. We saw that staff were up to date with their basic life support training, safeguarding children and vulnerable adults training and equality and diversity training, first aid and information governance. We looked at staff training and support files and saw evidence of certificates and other qualifications that had been completed. This meant that both clinical and non-clinical staff were sufficiently trained to undertake and perform their roles and responsibilities.

We saw arrangements were in place to enable staff to acquire further skills and qualification that were relevant to the work they undertook. We saw one member of staff was trained and qualified to run smoking cessation courses told us that they updated this training annually. We saw staff held other qualifications for example; one nurse had completed training in advanced life support and was completing advanced studies in insulin and diabetes care. This meant that staff collectively had a range of qualifications and skills that supported them in their day to day work and benefited patients.

We saw that reception staff were trained and supported to work across both surgeries. Staff told us: “We can speak with the doctors anytime we feel the need or if we need to check something out.”

We found that all staff had an annual appraisal. We saw copies of signed and dated appraisals for clinical and non-clinical staff. We were told that peer review arrangements were in place between GPs. We saw that GPs in the Tameside area attended a ‘Target’ meeting once a month. Target meetings provided protected learning time for GPs and were held at Tameside General Hospital. Target meetings were held on a Thursday afternoon. The practice closed and patients could access emergency treatment from an out of hours service that provided cover. GPs who attended the target meeting could choose between four to five modules and aimed to attend at least two modules. Meetings were led by the clinical commissioning groups or by specialist consultants and included topics such as erectile dysfunction and dietary advice. One GP we spoke with said of the meetings: “They are good sessions. Very structured training sessions.”

We found there were lots of good informal supervision arrangements in place for staff and these provided an opportunity for staff to consider their work practice. We found that nurses at the practice met once a month to discuss clinical issues and other work practice issues. We saw that nurses also meet with the GP once a month. We saw that reception staff also met as a separate group once every three months. Clinical and non-clinical staff told us they enjoyed working at HT Practice and one member of staff said: “I’m very comfortable working here and I’m well supported.”