We carried out an announced comprehensive inspection) at Dunstan Village Group Practice on 6, 8 and 9 December 2022. Overall, the practice is rated as requires improvement.
Safe - requires improvement
Effective – requires improvement
Caring - good
Responsive - good
Well-led - requires improvement
Following our previous inspection on 11, 18 and 27 May 2022, the practice was rated requires improvement overall and for key questions effective, and well-led and inadequate for providing safe services. Caring and responsive were rated as good.
The full reports for previous inspections can be found by selecting the ‘all reports’ link for Dunstan Village Group Practice on our website at www.cqc.org.uk
Why we carried out this inspection
We carried out this inspection to follow up concerns identified from our previous inspection.
How we carried out the inspection
This inspection was carried out in a way which enabled us to spend a minimum amount of time on site.
- Conducting staff interviews using video conferencing.
- Completing clinical searches on the practice’s patient records system (this was with consent from the provider and in line with all data protection and information governance requirements).
- Reviewing patient records to identify issues and clarify actions taken by the provider.
- Requesting evidence from the provider.
- A short site visit.
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 found that:
- The provider had implemented recall and monitoring systems and processes in order to ensure patients were treated safely.
- Steps had been taken to ensure there were sufficient staff who were suitably qualified and trained.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- Patients could access care and treatment in a timely way.
- A new management structure and lead roles were implemented to support staff. The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
We found one breach of regulation. The provider must:
- Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
Whilst we found no breaches of regulations, the provider should:
- Review safeguarding flags for household members.
- Take steps to reduce the number of patient records which require summarising.
- Improve prescribing practice forgabapentin and pregabalin.
- Take action to address the actions identified from the fire and health and safety risk assessments.
- Continue to monitor and improve the uptake of cervical cancer screening.
- Take action to monitor progress against the strategy.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA
Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services