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Archived: HT Practice Good

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Reports


Review carried out on 6 August 2019

During an annual regulatory review

We reviewed the information available to us about HT Practice on 6 August 2019. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

Inspection carried out on 24/04/2017

During an inspection looking at part of the service

Letter from the Chief Inspector of General Practice

This is a focused inspection of HT Practice for two areas within the key question safe.

We found the practice now to be good in providing safe services. Overall, the practice is rated as good.

The practice was previously inspected on 17 April 2015. The inspection was a comprehensive inspection under the Health and Social Care Act 2008. At that inspection, the practice was rated good overall. However, within the key question safe, two areas were identified as requiring improvement, as the practice was not meeting the legislation at that time:

Regulation 19 HSCA (RA) Regulations 2014 Fit and proper persons employed. We found that the registered person had not protected people against risk related to staff employed at the

registered location. This was in breach of regulation 19 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010, which corresponds to regulation 19 (1)(3)(a) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Regulation 17 HSCA (RA) Regulations 2014 Good governance. We found the registered person had not protected people against the risk of inappropriate or unsafe care and treatment, by means of good governance. This was in breach of regulation 17(2)(a)(b) of the Health and

Social Care Act 2008 (Regulated Activities) Regulations 2014.

During the inspection on 24 April 2017 we were provided with evidence which demonstrated HT Practice are now meeting the requirements of Regulation 17 and 19 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 17 April 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at HT Practice on 17 April 2015. Overall the practice is rated as good.

Specifically, we found the practice to be good for providing well-led, effective, caring and responsive services. It required improvement for providing safe services.

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, with the exception of those relating to recruitment checks.
  • 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 usually 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 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 proactively sought feedback from staff and patients, which it acted on.

There were areas of practice where the provider needs to make improvements.

Importantly the provider must:

  • Ensure recruitment arrangements include all necessary employment checks for all staff.
  • Ensure all identified risks, such as following fire risk assessments, are dealt with in a timely manner.
  • Ensure all equipment used is safe and within its expiry date.

The provider also should:

  • Consider amending appraisal process for nurses so that nurses are appraised by nurses who have managerial responsibility to do.
  • Set up a process to record the serial numbers of prescriptions taken on home visits.
  • Review policies to check they are dated and have been reviewed appropriately.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 12 December 2013

During a routine inspection

HT Practice is made up of two surgeries that merged, these being Highlands Surgery and Trafalgar Square Surgery. During this inspection we visited the Trafalgar Square surgery.

One patient told us: �Staff are fantastic and telephone contact is good.�

The practice displayed a range of health promotional literature in patient waiting areas, in GP treatment rooms and other treatment areas. Promotional literature included information about vaccinations, healthy eating and healthy lifestyles and stopping smoking. We found that patients who used the service were provided with appropriate information about the care, treatment and support choices available.

Patient�s told us they were given good information about their treatments by GPs. They told us they had explained the treatment to them and if they needed to be referred to see a consultant. Patients told us they felt involved and they were consulted about their treatment.

We saw that the premises in which HT Practice was located were safe and suitable for disabled and frail patients.

We found that both clinical and non-clinical staff were sufficiently trained to undertake and perform their roles and responsibilities. Staff told us they received good support from the practice manager and from the registered provider.

The practice had a number of systems in place to assess, monitor and improve the quality of service patients received. This ensured that patients� health care needs were monitored and responded to appropriately.