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Reports


Review carried out on 13 March 2020

During an annual regulatory review

We reviewed the information available to us about Westseven GP on 13 March 2020. We did not find evidence of significant changes to the quality of service being provided since the last inspection. As a result, we decided not to inspect the surgery at this time. We will continue to monitor this information about this service throughout the year and may inspect the surgery when we see evidence of potential changes.

Inspection carried out on 18 January 2019

During a routine inspection

We carried out an announced comprehensive inspection at Westseven GP on 18 January 2019 as part of our inspection programme.

We based our judgement of the quality of care at this service on a combination of:

  • what we found when we inspected
  • information from our ongoing monitoring of data about services and
  • information from the provider, patients, the public and other organisations.

We have rated this practice as good overall and good for all population groups.

We found that:

  • The practice provided care in a way that kept patients safe and protected them from avoidable harm.
  • Patients received effective care and treatment that met their needs.
  • Staff dealt with patients with kindness and respect and involved them in decisions about their care.
  • The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
  • The way the practice was led and managed promoted the delivery of high-quality, person-centre care.

Whilst we found no breaches of regulations, the provider should:

  • Continue efforts to improve the uptake of childhood immunisations.
  • Improve the identification of carers to enable this group of patients to access the care and support they need.
  • Consider how the practice receives details of building checks carried out by the owner of the building, undertake and record Fire drills.
  • Record informal complaints to continue to drive improvement.

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

Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice

Inspection carried out on 12 November 2015

During a routine inspection

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Westseven GP on 12 November 2015. Overall the practice is rated as good.

Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the CQC at that time.

Our key findings across all the areas we inspected were as follows:

  • There was an effective system in place for reporting and recording significant events and these were discussed regularly to share learning.

  • The practice had defined systems, processes and practices in place to keep people safe, including procedures to manage infection control, safeguarding concerns and staff recruitment.

  • 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 felt the practice offered a good service and staff were polite, professional, friendly and caring and treated them with dignity and respect.

  • 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.
  • There was a clear leadership structure and staff felt supported by management.
  • The practice proactively sought feedback from patients and there was evidence they acted on feedback received to make improvement to services.

  • The practice was aiming to expand its services through recruiting an additional GP.

The areas where the provider should make improvement are:

  • Review the arrangements and responsibilities for regular fire drills at the practice premises.

  • Ensure all administration staff completes up to date safeguarding training.

  • Ensure that the processes for monitoring fridge temeratures are consistently followed in line with national guidance.

  • Ensure paediatric defibrillator pads are available for use in a medical emergency.

  • Ensure clinical staff completes Mental Capacity Act training.

  • Review the processes in place for consumables stock management.

  • Ensure there is a failsafe system in place to confirm results are received for every sample sent as part of the cervical screening programme.

  • Advertise that translation services are available.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice