Letter from the Chief Inspector of General Practice
This practice is rated as Good overall. (Previous inspection November 2014 – Good)
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
We carried out an announced comprehensive inspection at Dr Oliver, Ferguson & Gozzelino known as Strand Medical Centre on 5 January 2018 as part of our inspection programme.
At this inspection we found:
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The practice had clear 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.
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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.
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Staff involved and treated patients with compassion, kindness, dignity and respect.
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Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
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There was a strong focus on continuous learning and improvement at all levels of the organisation.
We saw areas of outstanding practice in providing responsive services for people with protected characteristics under the Equality Act, and people who were in vulnerable circumstances or who had complex needs. For example:
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The practice with the support of the clinical commissioning group (CCG) had set up a transgender clinic to support this group of patients to access appropriate and supportive healthcare locally. This specialist clinic had been set up to support both the practice’s transgender patients as well as those patients who were registered with other practices from theirs and the neighbouring CCG.
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The practice offered all patients HIV testing to support early diagnosis and timely treatment and intervention. As part of this work the practice also offered training and learning sessions to GPs to enable them to normalise discussions around HIV testing.
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The practice staff spoke five different languages (Italian, Spanish, Portuguese Hindi and Urdu) to support patients where English was not their first language.
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The practice supported refugee families who had moved to the local area.
The areas where the provider should make improvements are:
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A copy of the electrical wiring safety certificate should be supplied to CQC.
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The practice should continue to monitor the effectiveness of the changes made to the systems supporting infection control and prevention.
Professor Steve Field CBE FRCP FFPH FRCGP Chief Inspector of General Practice