You are here

Reports


Inspection carried out on 9 July 2019 to 19 July 2019

During a routine inspection

We carried out an announced comprehensive inspection at Newtons Practice on 9 July 2019 as part of our inspection programme.

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We have rated this practice as good overall and good for all population groups.

We rated the practice as requires improvement for providing safe services because the provider had not always ensured high risk medicines were monitored in line with national guidelines.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm. However they did not always ensure high risk medicines were monitored in line with guidelines.
  • Patients received effective care and treatment that met their needs.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
  • There was a clear leadership structure and staff felt supported by management.
  • Staff worked well together as a team and all felt supported to carry out their roles. There was a strong team ethos and culture of working together. Staff received access to training and support to develop their skills
  • The practice had utilised the care coordinator role to good effect in the practice supporting patients with complex health and social care needs.

The areas where the provider must make improvements are:

• Ensure that care and treatment is provided in a safe way.

(Please see the specific details on action required at the end of this report).

The areas where the provider should make improvements are:

• Review and improve the recording of authorisations on PGDs.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care

Inspection carried out on 23 June 2017

During an inspection to make sure that the improvements required had been made

Letter from the Chief Inspector of General Practice

When we visited Newtons Practice on 30 August

2016 to carry out a comprehensive inspection we rated them as requires improvement

overall. We found breaches in the regulations relating to safe and well-led

services, and we told the practice they must:

  • Ensure that medicines fridges are kept secure

    at all times.

  • Ensure that health care assistants who carry

    out vaccines and immunisations do so under a clear authorisation which is

    maintained on record.

  • Ensure a record of cleaning clinical areas

    and equipment is maintained to support infection control audits.

  • Ensure that the feedback from patients and

    other stakeholders is managed and responded to.

We also said the practice should;

  • Review and continue to take action to

    identify carers who are patients at their practice.

  • Keep minutes of the regular nurse meetings to

    assist with future training, development and any quality assurance audits.

  • Review the records maintained for staff

    training to ensure they are up to date.

This

inspection was an announced focused inspection carried out on 23 June 2017 to

confirm that the practice had carried out their plan to meet the legal

requirements in relation to the breaches in regulations that we identified at

our previous inspection. This report covers our findings in relation to those

requirements and also additional improvements made since our last inspection.

This report should be read in conjunction with the full report of our

inspection on 30 August 2016, which can be found on our website at

www.cqc.org.uk.

The

practice is now rated as good overall and good for the provision of safe and

well-led services.

Our key findings were as follows:

We

saw one area where the provider should make improvement:

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 30 August 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Newtons Practice on 30 August 2016. Overall the practice is rated as requires improvement.

Our key findings across all the areas we inspected were as follows:

  • Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
  • 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.
  • 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.
  • 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.
  • Patients 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; however it was not always acted on.
  • The provider was aware of and complied with the requirements of the duty of candour.
  • Medicine management practices did not always keep patients safe.

The areas where the provider must make improvement are:

  • The provider must ensure that medicines fridges are kept secure at all times.
  • The provider must ensure that healthcare assistants who carry out vaccines and immunisations do so under a clear authorisation which is maintained on record.
  • The provider must ensure a record of cleaning clinical areas and equipment is maintained to support infection control audits.
  • The provider must ensure that the feedback from patients and other stakeholders is managed and responded to.

The areas where the provider should make improvement are:

  • The provider should review and continue to take action to identify carers who are patients at their practice.
  • The provider should keep minutes of the regular nurse meetings to assist with future training, development and any quality assurance audits.
  • The provider should review the records maintained for staff training to ensure they are up to date.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice