16 March 2016
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr Joseph Rizzo-Naudi, more commonly known as Whitchurch Surgery on 16 March 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
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High standards were promoted and owned by all practice staff with evidence of team working across all roles.
- There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
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The practice had a clear leadership structure, effective governance system in place, was well organised and actively sought to learn from performance data, incidents and feedback.
- Procedures were in place for monitoring and managing risks to patient and staff safety.
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Feedback from patients about their care was consistent and highly positive.
- Outcomes for patients who use the service were not always consistent which may have impacted on the quality of care and treatment received. Nationally reported Quality and Outcomes Framework (QOF) data, for 2014/15, showed the practice had obtained 84% of the total number of points available to them for providing recommended care and treatment to patients. We saw low levels of exception reporting and inconsistent QOF coding which impacted the total points obtained.
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The practice had good facilities and was well equipped to treat patients and meet their needs.
However, there were areas of practice where the provider needs to make improvements. Importantly the provider should:
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Review how carers are identified and recorded on the patient record system to ensure information, advice and support is made available to them.
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Develop and implement a clear action plan, to ensure quality outcomes specifically diabetes and mental health related indicators are correctly coded and recorded.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice