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Inspection carried out on 6 April 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection on 6 April 2016. Overall the practice is rated as good.

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

  • There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events. Learning was applied from events to enhance the delivery of safe care to patients.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance.
  • The practice used clinical audits to review patient care and took action to improve services as a result.
  • The practice worked effectively with the wider multi-disciplinary team to plan and deliver high quality and responsive care to keep vulnerable patients safe.
  • 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 and learning from complaints was shared across the practice.
  • There was a clear leadership structure and staff told us that they felt supported by management. The leadership and governance arrangements were robust and focused upon continuous improvement.
  • There was a clear leadership structure and staff felt supported by management. The practice analysed and responded to feedback received from patients. Comments were used to adapt services where possible to best meet patients’ needs.
  • The practice had an active Patient Participation Group (PPG) and worked with them to review and improve services for patients.

We saw one area of outstanding practice:

  • The practice had championed the role of care coordinator and the team were proactive in building relationships with community teams. They worked closely with community teams to support patients in their homes and had developed specialist programs for dementia patients to improve quality of life and support carers.

The areas where the provider should make improvement are:

  • Review access to appointments to enable patient access to appointments in a timely manner with improved continuity of care.

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice

CQC Insight

These reports bring together existing national data from a range of indicators that allow us to identify and monitor changes in the quality of care outside of our inspections. The data within the reports do not constitute a judgement on performance, but inform our inspection teams. Our judgements on quality and safety continue to come only after inspection and we will not make judgements on data alone. The evidence tables published alongside our inspection reports from April 2018 onwards replace the information contained in these files.