Letter from the Chief Inspector of General Practice
Tonge Fold Health Centre was inspected on the 22 December 2014. We rated the practice overall as requires improvement.
Specifically, we found the practice to be good for providing effective, caring and responsive services. It required improvement for providing services for all the population groups that we assess. It required improvement for providing safe and well-led services.
Our key findings were as follows:
- Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed learning was not always communicated to all staff.
- Risks to patients were not always assessed and well managed, for example those relating to recruitment checks.
- People’s needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
- 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 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 were areas of practice where the provider needs to make improvements.
The areas where the provider MUST make improvements are:
- There was a failure to adopt in full the recruitment checks that legislation requires.
- The leadership lacked strategic aim and direction and effective communication was not always evident. Quality assurance and the monitoring and review of risk was not always effective.
The areas where the provider should make improvements are:
- Review the security arrangements for the fridges used to store medicines.
- Additional guidance/training for chaperones.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice