Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Grosvenor Road surgery on Wednesday 1 April 2015.
Overall the practice is rated as good.
Specifically, we found the practice to be good for providing well-led, effective, caring and responsive services. It was also good for providing services for all of the population groups. It required improvement for providing safe services.
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.
- Clinical risks to patients were assessed and well managed. However, environmental risks and those relating to recruitment checks were not well managed.
- 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 found it easy to make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
- The practice was well equipped to treat patients and meet their needs but the environment was in need of renovation in places.
- 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.
There were areas of practice where the provider needs to make improvements.
Action the provider MUST take to improve:
The provider must ensure recruitment procedures are established and operated effectively.
Ensure the premises are safe and suitable for their intended purpose by carrying out a fire risk assessment and provide evidence that staff have attended fire safety training and practiced regular fire drills.
Action the provider SHOULD take to improve:
Have systems in place to monitor the distribution of prescriptions once they leave the secure storage facilities.
Ensure that environmental risk assessments are detailed and contain ratings and mitigating actions to reduce and manage the risk.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice