- GP practice
Archived: Westfield Surgery
All Inspections
25 October 2018
During a routine inspection
This practice is rated as Good overall. (Previous rating 21/10/2014 – Good)
The key questions at this inspection are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
We carried out an announced comprehensive inspection at Westfield Surgery on 25 October 2018 as part of our inspection programme.
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 had completed an infection control audit and action had been taken to address areas identified. However, the practice needed to embed this further to ensure it was reviewed and monitored regularly in line with its policy.
- The practice involved patients in regular reviews of their medicines.
- The practice understood the needs of its population and tailored services in response to those needs. For example, providing home visits for patients with long-term conditions.
- There was evidence of a number of quality and pilot initiatives to ensure patients’ needs were met.
- The practice engaged with external organisations to improve the quality of services delivered for practice patients and the local population.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
The areas where the provider should make improvements are:
- Further develop an effective system to review and monitor infection control.
- Ensure a stock of appropriate emergency medicines are available to cover potential emergency situations.
- Continue to monitor and review the uptake for cervical screening.
- Continue to monitor patient satisfaction rates particularly in relation to access to services.
- Continue to actively encourage patients to join the patient participation group.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information
21 October 2014
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out a comprehensive inspection of Westfield Surgery on 21 October 2014. The inspection team was led by a CQC inspector and included a GP specialist advisor, and practice manager specialist advisor. We found that Westfield Surgery provided a good service to patients in all of the five key areas we look at. This applied to patients across all age ranges and to patients with varied needs due to their health or social circumstances.
Our key findings were as follows:
- The practice had systems for monitoring and maintaining the safety of the practice and the care and treatment they provided to their patients and were working on developing these.
- The practice was proactive in helping people with long term conditions to manage their health and had arrangements in place to make sure their health was monitored regularly.
- The practice was clean and hygienic and had arrangements for reducing the risks from healthcare associated infections.
- Patients felt that they were treated with dignity and respect. They felt that their GP listened to them and treated them as individuals.
- The practice had a well-established team with expertise and experience in a wide range of health conditions.
- The practice had identified areas where they needed to develop and improve and recognised the key role of the practice manager in achieving this.
There were areas where the practice needs to make improvements.
The practice should:
- Review policies and procedures relating to recruitment and ensure they are tailored specifically to the practice.
- Review policies and procedures for the induction, ongoing training, appraisal and supervision of non-clinical staff.
- Introduce a system for monitoring and auditing the allocation of paper prescription pads.
- Introduce a system for checking GPs’ bags regularly to make sure the contents including any medicines and equipment are complete and in date.
- Monitor the temperature of any room where medicines are stored.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice