1 April 2015
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Monkspath Surgery on 1 April 2015. Overall the practice is rated as good.
Specifically, we found the practice to be good for providing safe, effective, caring and responsive services and for being well-led. It was also good for providing services for the six population groups.
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. Information about safety was recorded, monitored, appropriately reviewed and addressed.
- Risks to patients were assessed and well managed, with the exception of those relating to legionella.
- Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
- Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
- Information about services and how to complain was available and easy to understand.
- Patients said they did not find it easy to obtain an appointment with their preferred GP and at their convenience. However, systems were in place to enable patients to consult with a GP the same day if needed.
- 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.
However there were areas of practice where the provider needs to make improvements.
Importantly the provider should:
- Develop systems for maintaining specialist staff training records alongside core training so that the practice can be assured that training relevant to staff roles has been completed and any identified development needs are met.
- Ensure legionella risk assessments are up to date and actions identified have been implemented.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice