Letter from the Chief Inspector of General Practice
This practice is rated as Good overall. (Previous inspection 15 October 2015 – 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 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 comprehensive inspection at Gordon House surgery on 15 October 2015. The overall rating for the practice good. However we rated the key question as requires improvement and served the practice with a requirement notice for Regulation 17 in relation to improvements required in the safe and secure storage of patients paper records. The full comprehensive report can be found by selecting the Gordon House Surgery ‘all reports’ link for on our website at www.cqc.org.uk.
This inspection was an announced comprehensive inspection carried out on 28 November 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 15 October 2015. This report covers our findings in relation to those requirements and additional improvements made since our last inspection.
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.
Staff involved and treated patients with compassion, kindness, dignity and respect.
Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
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:
Ensure they keep a log of all prescriptions.
Maintain arrangements to safely store emergency equipment.
Maintain arrangements of keeping a full supply of emergency medicines.
Maintain mechanisms for managing a failsafe system for patients being referred under the cancer two week referral systems.
Strengthen the system for following up and recording cervical smears.
Ensure internal fridge temperatures are checked frequently
Should continue their efforts to identify carers
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice