Letter from the Chief Inspector of General Practice
This practice is rated as good overall (Previous inspection September 2015, rating – Good)
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:
Older People – Good
People with long-term conditions – Good
Families, children and young people – Good
Working age people (including those retired and students – Good
People whose circumstances may make them vulnerable – Good
People experiencing poor mental health (including people with dementia) - Good
We carried out an announced comprehensive inspection at Castle Donington Surgery on 5 December 2017 as part of our inspection programme.
At this inspection we found:
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The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice fully investigated them, learned from them and implemented changes to improve their processes.
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The practice routinely reviewed the effectiveness and appropriateness of the care it provided. Care and treatment was delivered according to evidence- based guidelines and in line with identified patient needs.
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Staff involved and treated patients with compassion, kindness, dignity and respect.
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There was a strong focus on continuous learning and improvement at all levels of the organisation.
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Feedback we received from patients on the day of our inspection was consistently positive about the service they received.
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Some results from the national GP patient survey published in July 2017 were lower than average in respect of access but the practice had implemented an action plan to address this.
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The system for monitoring prescription security was not effective but this was rectified following our inspection.
The areas where the provider should make improvements are:
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Ensure policies are reviewed and followed.
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Ensure the arrangements for monitoring prescription use which have been introduced are embedded.
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Ensure any actions arising from the scheduled legionella risk assessment are implemented.
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Ensure actions as a result of safety alerts received are logged as planned.
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Ensure the action plan relating to patient access is progressed and monitored.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice