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Inspection Summary


Overall summary & rating

Good

Updated 28 June 2019

We carried out an announced comprehensive inspection at Dr Robinson & Partners on 7 June 2019.

We previously carried out an announced comprehensive inspection at Dr Robinson & Partners on 27 November 2018 as part of our inspection programme. The practice was rated inadequate, placed into special measures and a warning notice in relation to good governance and a requirement notice in relation to staffing were issued. We carried out a follow up inspection on 25 January 2019 to ensure that the issues identified in the warning notice had been addressed. The full comprehensive report on the 27 November 2018 inspection and the focused report for 25 January 2019 can be found by selecting the ‘all reports’ link for Dr Robinson & Partners on our website at www.cqc.org.uk.

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.
  • information from the provider, patients and other organisations.

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

We found that:

  • There had been significant improvement since our previous inspection and that the practice had addressed previous concerns.
  • All staff had completed safeguarding training. The practice’s safeguarding policy for vulnerable adults had been updated to reflect the appropriate categories of abuse.
  • Staff recruitment checks met legal requirements.
  • There was an action plan with target dates for completion in place to address the backlog of coding of patients’ conditions.
  • A system to track prescription stationery throughout the practice had been put in place.
  • The practice had established regular meetings with other professionals to plan and deliver care and treatment for people with long-term conditions. Decisions were documented in patients’ records.
  • All staff had received an appraisal and an overarching system to monitor staff compliance with required training was in place.
  • Consent forms reflected the most recent changes in legislation.
  • Staff treated patients with kindness, respect and compassion.
  • The practice had acted to understand why patient satisfaction with access to appointments was below the national average.
  • A process for ensuring compliance with timeframes specified within the practice’s complaints policy had been implemented. There was evidence of learning from complaints and significant events.
  • A clear vision and credible strategy had been developed by the practice leaders with involvement of staff at all levels.
  • Governance and management operated effectively. Policies had been updated to reflect national guidance.
  • There were effective processes for managing risks, issues and performance.

The areas where the provider should make improvements are:

  • Continue to monitor and improve the backlog of coding of patients’ conditions in patients’ records.
  • Continue to explore and address below average patient satisfaction levels with access to appointments.

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

I am taking this service out of special measures. This recognises the significant improvements made to the quality of care provided by the service.

Dr Rosie Benneyworth BS BM BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care.

Inspection areas
Checks on specific services

People with long term conditions

Good

Families, children and young people

Good

Working age people (including those recently retired and students)

Good

People experiencing poor mental health (including people with dementia)

Good

People whose circumstances may make them vulnerable

Good