- GP practice
Archived: Grosvenor Place Surgery
All Inspections
A desk based review was carried out on 23 February 2017
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Grosvenor Place Surgery on 28 July 2016. The practice was rated as requires improvement for providing safe services. The overall rating for the practice was good. The full comprehensive report on the 28 July 2016 inspection can be found by selecting the ‘all reports’ link for Grosvenor Place Surgery on our website at www.cqc.org.uk.
This inspection was a desk-based review which was carried out on 23 February 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 28 July 2016 This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is now rated as good.
Our key findings were as follows:
- A fire risk assessment had been completed and a log of routine checks was being maintained.
- We saw evidence that water temperatures are being checked in line with their legionella risk assessment.
- Policies to maintain confidentiality of personal information had been implemented.
- The practice had improved the identification of carers. In July 2016 the practice had identified 0.7% of registered patients and this had increased to 2.4%. Reminders had also been added to the patient records of others, who may be appropriate for identification, to encourage clinicians to discuss with the patient. This meant that more patients were getting the appropriate care and support.
- Significant events were shared with the practice team providing opportunities for learning.
We have changed the rating for this practice to reflect these changes. The practice is now rated good for the provision of safe, effective, caring, responsive and well led services.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice
28 July 2016
During a routine inspection
Letter from the Chief Inspector of General Practice
Our key findings across all the areas we inspected were as follows:
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
- Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
- Patients said they found it easy to make an appointment with 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.
- There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
- The provider was aware of and complied with the requirements of the duty of candour.
- Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
- There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events. However there was no documented evidence that lessons were shared widely enough to support improvement.
- Risks to patients were assessed and well managed, with the exception of fire safety and Legionella (Legionella is a term for a particular bacterium which can contaminate water systems in buildings).
The areas where the provider must make improvements are:
- Ensure a fire risk assessment has been undertaken and a log kept of routine checks done.
- Ensure water temperatures are checked in line with their legionella risk assessment.
- Ensure processes are put into place to maintain confidentiality of personal patient information.
The areas where the provider should make improvements are:
- To ensure lessons learnt from significant events are documented and shared widely enough to support improvement in quality of care and thorough analysis to identify themes.
- The practice should improve the identification of patients who are also carers.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice