You are here

Brentford Group Practice Good

Reports


Review carried out on 1 November 2019

During an annual regulatory review

We reviewed the information available to us about Brentford Group Practice on 1 November 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 21 August 2017

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Brentford Group Practice on 21 October 2015. The practice was rated as requires improvement for providing safe and well-led services and the overall rating for the practice was requires improvement. The full comprehensive report on the October 2015 inspection can be found by selecting the ‘all reports’ link for Brentford Group Practice on our website at www.cqc.org.uk.

This inspection was an announced comprehensive follow up inspection on 21 August 2017 to check for improvements since our previous inspection. Overall the practice is now 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 a system in place for reporting and recording significant events.
  • Risks to patients were assessed and well managed, with the exception of those relating to testing electrical equipment, checking medical supplies and tracking blank prescription forms.
  • Staff were aware of current evidence based guidance. Most staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment. However, not all had received training in the Mental Capacity Act 2005.
  • Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
  • Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
  • Patients we spoke with 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 sought feedback from staff and patients, which it acted on.
  • The provider was aware of the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.

The areas where the provider should make improvement are:

  • Implement a system to ensure risks to patients are assessed and well managed. For example, the safe use of equipment and medical supplies, tracking blank prescriptions, and updating the business continuity plan.
  • Implement a system to ensure clinical audits are recorded in a consistent format to demonstrate effectiveness.
  • Provide staff with access to appropriate training and review the protected learning time for nursing staff.
  • Implement a system to ensure results are received for samples sent for the cervical screening programme.
  • Continue to identify and support patients who are carers.
  • Review ways to improve patient satisfaction with the convenience and punctuality of appointments.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 21 October 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Brentford Group Practice on 21 October 2015. Overall the practice is rated as requires improvement.

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. However, not all significant events were discussed at meetings and it was not clear what learning had been achieved to improve safety in the practice.
  • Some risks to patients were assessed and well managed, with the exception of those relating to infection prevention and control, medicines management, recruitment, staff training, and dealing with emergencies.
  • Data showed patient outcomes were above average for the locality. Clinical audits were used to demonstrate quality improvement, although the results were not always shared with staff.
  • Patients said they were treated with compassion, dignity and respect. Most felt cared for, supported and listened to.
  • Information for patients about the services available was easy to understand and accessible.
  • Urgent appointments were usually available on the day they were requested.
  • The practice had a number of policies and procedures to govern activity, but we found the recruitment policy was not being adhered to and it was not clear when policies were due for review.
  • The practice did not have a patient participation group (PPG) and were not able to demonstrate how they acted on patient feedback.

The areas where the provider must make improvements are:

  • Ensure Patient Group Directions for nursing staff are reviewed.
  • Carry out a risk assessment to prevent the spread of health care associated infections.
  • Be proactive in seeking and acting on feedback from patients.
  • Ensure staff receive training, professional development and appraisal to enable them to carry out their roles.
  • Ensure effective recruitment procedures are followed.

In addition the provider should:

  • Ensure availability of an automated external defibrillator (AED) or undertake a formal risk assessment if a decision is made to not have an AED on-site.
  • Review and update procedures and guidance.
  • Formalise the practice’s vision and values and ensure staff are made aware of this.
  • Maintain a record of decisions and actions arising from practice meetings.
  • Advertise that translation services are available to patients on request.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice