Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at North Trafford Group Practice on 19 January 2015. Overall the practice is rated as requires improvement.
Specifically, we found the practice to be good for providing effective, caring and responsive services. It was also 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 and addressed.
- Risks to patients were not always fully assessed and managed.
- 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 was usually easy to make an appointment with their 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.
- The leadership structure was new and not yet embedded fully.
- Staff were not always fully supported and their feedback not routinely sought.
There were areas of practice where the provider needs to make improvements.
The areas where the provider must make improvements are:
- Ensure medication stock is appropriate and well monitored.
The areas where the provider should make improvements are:
- Ensure the level of nursing support is sufficient to meet the practice needs.
- Review equipment that is no longer used or has not been tested or calibrated.
- Ensure that clinical audit cycles are completed.
- Clarify leadership and the practice vision and embed amongst staff with more support for staff where required.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice