You are here

Inspection Summary


Overall summary & rating

Good

Updated 30 January 2018

Letter from the Chief Inspector of General Practice

This practice is rated as Good overall. (Previous inspection February 2015 – Good)

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? - Good

As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:

Older People – Good

People with long-term conditions – Good

Families, children and young people – Good

Working age people (including those recently retired and students – Good

People whose circumstances may make them vulnerable – Good

People experiencing poor mental health (including people with dementia) - Good

We carried out an announced comprehensive inspection at Old Bridge Surgery on 12 December 2017 as part of our planned inspection programme.

At this inspection we found:

  • The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
  • Staff involved and treated patients with compassion, kindness, dignity and respect.
  • Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
  • There was a strong focus on continuous learning and improvement at all levels of the organisation.

We saw two areas of outstanding practice:

Patients with learning disabilities were offered and provided a health check every year during which their long term care plans were discussed with the patient and their carer if appropriate. The practice had supported one of the nurses to become a learning disability specialist. This nurse ensured all patients with learning disabilities had regular check-ups and had also set up and led a group of volunteers to support patients with learning disabilities. This included organised field trips, activities and days out every three weeks. The practice had won a local award for outstanding contribution to supporting patients with learning disabilities. Positive benefits and impact upon this group of patients included opportunities to get out of their care setting and explore the wider world.

Patient under witness protection programmes, with significant health needs, were registered using the practice address by arrangement with the police. This procedure was used when patients were in fear of being traced. For example, following incidents of domestic violence. Positive benefits and impact upon this group of patients included peace of mind with reduced risk of being traced.

The areas where the provider should make improvements are:

The practice should ensure that all of its infection control protocols including hand washing techniques and laundering of uniforms were reviewed on an annual basis.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection areas

Safe

Good

Updated 30 January 2018

Effective

Good

Updated 30 January 2018

Caring

Good

Updated 30 January 2018

Responsive

Good

Updated 30 January 2018

Well-led

Good

Updated 30 January 2018

Checks on specific services

People with long term conditions

Good

Updated 30 January 2018

Families, children and young people

Good

Updated 30 January 2018

Older people

Good

Updated 30 January 2018

Working age people (including those recently retired and students)

Good

Updated 30 January 2018

People experiencing poor mental health (including people with dementia)

Good

Updated 30 January 2018

People whose circumstances may make them vulnerable

Good

Updated 30 January 2018