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Dr S Nelson & Partners Good Also known as Overton Park Surgery

Reports


Inspection carried out on 16 Jul 2019

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

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 significant change (either deterioration or improvement) to the quality of care provided since the last inspection.

This inspection focused on the following key questions:

  • Is the service Effective?
  • Is the service Well-led?

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

  • Is the service Safe?
  • Is the service Caring?
  • Is the service Responsive?

We have rated the practice as good overall.

We have rated the practice as good for providing effective services.

We found that;

  • Patients received effective care and treatment that met their needs.
  • Exception reporting for patients with respiratory conditions was higher than local and national averages.

We have rated the practice as requires improvements for patients with long-term conditions and good for all other population groups.

We have rated the practice as requires improvement for provider well led services.

We found that;

  • Systems and process to mitigate risk were not always effective.
  • Processes to ensure the competency of non-medical prescribers was not embedded.
  • There was not oversight of children who failed to attend for secondary care appointments.
  • Staff felt supported in their role.

The areas where the provider must make improvements are;

  • Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.

The areas where the provider should make improvements are;

  • Ensure consent is obtained and recorded appropriately across the practice.
  • Improve the recording of when items requiring action from risk assessments had been completed.
  • Continue to improve uptake of cervical screening.
  • Ensure processes to review children not brought to secondary care appointments are embedded in practice.

Details of our findings and the evidence supporting our ratings are set out in the evidence tables.

Rosie Benneyworth

Chief Inspector of PMS and Integrated Care

Inspection carried out on 17 February 2016

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr S Nelson & Partners on 17 February 2016. 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.

We saw one area of outstanding practice:

  • The practice employed a community nurse who visited elderly patients, carried out reviews and liaised with other professionals to ensure older patients’ health and social needs were being met.

The areas where the provider should make improvement are:

  • Ensure there are robust and effective systems in place to ensure patients on high risk medicines or those who require regular monitoring are actively followed up in line with national guidance.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice