10 March 2015
During a routine inspection
Letter from the Chief Inspector of General Practice
This is the report from our inspection of Dr James and Partners Surgery. The practice is registered with the Care Quality Commission to provide primary care services.
We undertook a planned, comprehensive inspection on the 10 March 2015 at Dr James and Partners Surgery. We reviewed information we held about the services and spoke with patients, GPs, and staff.
Overall the practice is rated as good.
Our key findings were as follows:
- There were systems in place to mitigate safety risks including analysing significant events and safeguarding. The premises were clean and tidy. Systems were in place to ensure medication including vaccines were appropriately stored and in date.
- Patients had their needs assessed in line with current guidance and the practice had a holistic approach to patient care. The practice promoted health education to empower patients to live healthier lives.
- Feedback from patients and observations throughout our inspection highlighted the staff were kind, caring and helpful.
- The practice was responsive and acted on patient complaints and feedback.
- The staff worked well together as a team.
We an area of outstanding practice including:
The practice offered support through shared care agreements for those patients who had addiction issues. The practice also ran joint clinics with a drug advisor to ensure patients received the correct medication, support and advice. Records showed that all patients who had a member of their family with an addiction issue had an alert placed on their record. This was to ensure the practice could offer appropriate support and safeguard against possible abuse or neglect.
However, there was also an area of practice where the provider needs to make improvements.
The provider should:
Ensure there is a system in place whereby audits undertaken are centrally monitored to ensure identified actions are carried out and reviewed.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice