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Archived: North Petherton Surgery Good

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Reports


Inspection carried out on 18 Sep to 18 Sep 2019

During an inspection to make sure that the improvements required had been made

This practice is rated as Good overall. (Previous inspection October 2015 – Good)

The key questions are rated as:

Are services effective? Good

Are services caring? 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 recently 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 focused inspection at North Petherton Surgery on 18 September 2019. We carried out an inspection of this service following our annual review of the information available to us including information provided by the practice. Our review indicated that there may have been a change to the quality of care provided since the last inspection.

This inspection focused on the following key questions: Effective, caring and well-led.

Because of the assurance received from our review of information we carried forward the ratings for the following key questions: Safe and responsive.

We based our judgement of the quality of care at this service on a combination of:

• what we found when we inspected

• information from our ongoing monitoring of data about services and

• information from the provider, patients, the public and other organisations.

At this inspection we found:

  • The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
  • The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
  • The practice encouraged involvement in care and treatment decision making. For example, through treatment escalation plans and identification of carers.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • National and local patient surveys were in line with or above national averages with patients responding positively to their experience at the practice.

The area where the provider should make improvements:

  • Take action to improve cervical screening uptake rates.

Dr Rosie Benneyworth BM BS BMedSci MRCGP

Chief Inspector of Primary Medical Services and Integrated Care

Inspection carried out on 13 October 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at North Petherton Surgery on 13 October 2015. 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.
  • Risks to patients were assessed and well managed.
  • Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had 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.
  • Information about services and how to complain was available and easy to understand.
  • Patients said they found it easy to make an appointment with a named GP and that 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.
  • The practice engaged and supported the local community. For example, the practice had raised a considerable sum of money for the local hospice which supported patients with end of life care. The practice had also provided services within other organisations that supported patients. For example, GP appointments at the local contraceptive and sexual health service; complex care to patients in care homes across the local GP federation and specialist procedure for newborn babies.

  • We saw that the practice had a significant positive impact on the patient population. For example, feedback from patients about the service provided was continually positive. The practice had well above average national patient survey results; patient feedback through 35 comment cards and patients we spoke to on the day were very positive about the care and treatment they received. The NHS Friends and Family Test showed that 100% of patients would recommend the practice.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice