14 June 2016
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Oakengates Medical Practice on 14 June 2016. Overall the practice is rated as requires improvement.
Our key findings across all the areas we inspected were as follows:
- There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
- Risks to patients were not always assessed and well managed. For example the practice had not assured that their staff were immune to health associated infections.
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance.
- Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
- Patient satisfaction with their experience of contacting the practice and making appointments was below local and national averages.
- Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
- 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.
- The provider was aware of and complied with the requirements of the duty of candour.
The areas where the provider must make improvement are:
- Improve the quality of services provided for patients contacting the practice by telephone and their overall experience of making appointments.
- Review the systems for assessing and monitoring the quality of service provision and take steps to ensure risks are managed appropriately.
The areas where the provider must should make improvement are:
- Ensure that all required recruitment checks are obtained for staff.
- Record the immunisation status of staff to establish if staff and patients were protected from the risk of health care acquired infections.
- Review the fire risk assessment to ensure that it is robust.
- Improve the information available for staff on the Control of Substances Hazardous to Health.
- Evaluate the reasons for poor performance in the national GP patient survey regarding patient satisfaction with their interactions with GPs and nurses and take action to improve performance in this area.
- Adopt a more proactive approach to identifying and meeting the needs of carers.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice