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The Dove Valley Practice Good

Reports


Inspection carried out on 19 November 2019

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

We carried out an inspection of this service due to the length of time since the last inspection. Following our review of the information available to us, including information provided by the practice, we focused our inspection on the following key questions: effective and well led

Because of the assurance received from our review of information we carried forward the ratings for the following key questions: safe, caring and responsive.

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 found that:

  • Patients received effective care and treatment that met their needs.

  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

Whilst we found no breaches of regulations, the provider should:

  • Continue with plans to implement safeguarding level two training for all staff.

We saw areas of outstanding practice:

  • The practice had recently introduced ‘doctorlink’. This is a digital application to connect patients to local NHS services, allowing them to check symptoms confidentially online, 24/7, and book face to face appointments with their own GP. The practice told us using this service improved patient access. Since the practice had introduced this service (October 2019), 900 patients had used the service and 12% of those patients had received self-help. The practice told us that the service had also increased appointment availability.

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 6 December 2016

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

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at The Dove Valley Practice on 3 December 2014. The inspection identified areas of practice where the provider needed to make improvements. We carried out this announced follow up inspection to review the improvements made. This report only includes the areas we reviewed. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for The Dove Valley Practice on our website at www.cqc.org.uk.

Overall the practice is rated as good.

Following this inspection we have rated the practice as good in the safe domain.

  • The practice had clearly defined and embedded systems, processes and practices in place to keep patients safe and safeguarded from abuse.

  • The GPs had attended the necessary child and adult safeguarding training.

  • The practice had employed a lead nurse. The lead nurse was responsible for implementing and monitoring systems to prevent the spread of infectious diseases. The practice had completed a risk assessment on the 8 December 2015, implemented an action plan and responded to the issues found. Staff had last completed infection control training on 20 April 2016.

  • The practice had a cold chain protocol in place to ensure the maintenance of a safe temperature for vaccines

     

    . Staff had kept a daily record of the refrigerator temperature. Where the temperature was outside of a

    the recommended range, staff documented the actions taken.

    staff had taken and recorded their actions.

  • Although the practice manager had reviewed the recruitment and selection policy it did not contain all the requirements set out in Schedule 3 of the Health and Social Care Act 2008, (Regulated Activities) Regulations 2014. 

  • The registered provider should review the recruitment and selection policy to make sure it contains all the requirements of Schedule 3 of the Health and Social Care Act 2008, (Regulated Activities) Regulations 2014. 

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection carried out on 3 December 2014

During a routine inspection

Letter from the Chief Inspector of General Practice

We inspected this practice on the 3 December 2014 as part of our comprehensive inspection programme.

We found that the practice had made provision to ensure care for people was safe, caring, responsive, effective and well led and we have rated the practice as good overall.

Our key findings were as follows:

  • Patients told us they were satisfied with the overall friendliness and behaviour of all staff. They described the doctors and nurses as professional, competent, thorough and knowledgeable about their treatment needs. They described the reception staff as helpful and caring.

  • The practice offered flexible appointment times. Appointments were available to book in advance. The practice also offered telephone consultations and an online appointment and prescription service.
  • The practice had a clear vision to deliver high quality care and promote good outcomes for patients. We found that these values were embedded within the culture of the practice. There were good governance and risk management processes in place. We found that the provider listened to patient comments and took action to improve their service.

  • We looked at how well services were provided for specific groups of people and what good care looked like for them. We found that the practice actively monitored the needs of patients. We saw that arrangements were in place for older patients and patients who had long term health conditions to be regularly reviewed and to attend the practice for routine checks. We found that appointments provided flexibility for patients who were working.

However, there were also areas of practice where the provider needs to make improvements.

  • GPs had completed Level 2 training in safeguarding children but level 3 is recommended.

  • There was no written protocol to advise staff of the actions to take following a breach of the cold chain in the storage facilities for vaccines. A record of the action that had been taken following a breach had not always been completed.

  • Whilst staff we spoke with had an understanding of the measures to take to minimise the risk of cross infection the majority of staff had not received infection control training.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice