You are here

Lindfield Medical Centre Good Also known as Dr Reader & Partners

Inspection Summary


Overall summary & rating

Good

Updated 18 January 2017

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection of this practice on 7 April 2016. Breaches of Regulatory requirements were found during that inspection within the safe domain. After the comprehensive inspection, the practice sent us an action plan detailing what they would do to meet the regulatory responsibilities in relation to the following:

  • Ensure fire drills are undertaken at regular intervals.

We undertook this focused desktop inspection on 25 October 2016 to check that the provider had followed their action plan and to confirm that they now met regulatory requirements. A desktop inspection is when we request information from the registered provider to check that they have taken action to meet regulations without a visit to the location.

This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Lindfield Medical Centre on our website at www.cqc.org.uk.

This report should be read in conjunction with the last report published in August 2016.

Our key findings across the areas we inspected were as follows:-

  • We saw evidence to confirm that the practice had undertaken a fire drill and practice as indicated in their action plan.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

Inspection areas

Safe

Good

Updated 18 January 2017

The practice is rated as good for providing safe services.

  • On our previous inspection on 7 April 2016, we found that the practice could not demonstrate that fire drills were carried out to ensure the safety of patients, staff and visitors to the practice.
  • At this inspection 25 October 2016 we found that a programme of fire drills had now been established. A fire drill was carried out on 24 August 2016.

Effective

Good

Updated 24 August 2016

The practice is rated as good for providing effective services.

  • Data from the Quality and Outcomes Framework showed patient outcomes were at or above average for the locality and compared to the national average.
  • Staff assessed needs and delivered care in line with current evidence based guidance.
  • Clinical audits demonstrated quality improvement.
  • Staff had the skills, knowledge and experience to deliver effective care and treatment.
  • There was evidence of appraisals and personal development plans for all staff. However the practice did not have a structured plan for ensuring staff had training to meet the needs of the patients and organisation.
  • Staff worked with multidisciplinary teams to understand and meet the range and complexity of patients’ needs.

Caring

Good

Updated 24 August 2016

The practice is rated as good for providing caring services.

  • Data from the National GP Patient Survey showed patients rated the practice higher than others for several aspects of care.
  • Patients said they were treated with compassion, dignity and respect and they were involved in decisions about their care and treatment.
  • Information for patients about the services available was easy to understand and accessible.
  • We saw staff treated patients with kindness and respect, and maintained patient and information confidentiality.

Responsive

Good

Updated 24 August 2016

The practice is rated as good for providing responsive services.

  • Practice staff reviewed the needs of its local population and engaged with the NHS England Area Team and Clinical Commissioning Group to secure improvements to services where these were identified. For example, the practice had developed risk templates and carried out risk profiles to ensure patients who needed additional support were identified.
  • Patients found it easy to make an appointment. All patients had a named GP and there was continuity of care, with urgent appointments available the same day.
  • The practice had good facilities and was well equipped to treat patients and meet their needs.
  • Information about how to complain was available and easy to understand and evidence showed the practice responded quickly to issues raised. Learning from complaints was shared with staff and other stakeholders.

Well-led

Good

Updated 24 August 2016

The practice is rated as good for being well-led.

  • The practice had a clear vision and strategy to deliver high quality care and promote good outcomes for patients. Staff were clear about the vision and their responsibilities in relation to this.
  • There was a clear leadership structure and staff felt supported by management. The practice had a number of policies and procedures to govern activity and held regular governance meetings.
  • There was an overarching governance framework which supported the delivery of the strategy and good quality care. This included arrangements to monitor and improve quality and identify risk.
  • The provider was aware of and complied with the requirements of the Duty of Candour. The partners encouraged a culture of openness and honesty. The practice had systems in place for knowing about notifiable safety incidents and ensured this information was shared with staff to ensure appropriate action was taken
  • The practice sought feedback from staff and patients, which it acted on. The practice had a patient participation group however this was no longer active. The practice had a reference group and obtained feedback through practice surveys, national surveys and direct feedback from patients.
  • There was a strong focus on continuous learning and improvement at all levels.
Checks on specific services

Older people

Good

Updated 18 January 2017

The practice was rated as good for the care of older people on 7 April 2016. This rating remains unchanged.

People with long term conditions

Good

Updated 18 January 2017

The practice was rated as good for the care of older people on 7 April 2016. This rating remains unchanged.

Families, children and young people

Good

Updated 18 January 2017

The practice was rated as good for the care of older people on 7 April 2016. This rating remains unchanged.

Working age people (including those recently retired and students)

Good

Updated 18 January 2017

The practice was rated as good for the care of older people on 7 April 2016. This rating remains unchanged.

People whose circumstances may make them vulnerable

Good

Updated 18 January 2017

The practice was rated as good for the care of older people on 7 April 2016. This rating remains unchanged.

People experiencing poor mental health (including people with dementia)

Good

Updated 18 January 2017

The practice was rated as good for the care of older people on 7 April 2016. This rating remains unchanged.