23 June 2015
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at East Park Practice on 23 June 2015. Overall the practice is rated as good.
Specifically, we found the practice to be good for providing safe, effective, caring, responsive and for being well led. It was also good for providing services for older people and people with long term conditions.
Our key findings across all the areas we inspected were as follows:
- Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. All opportunities for learning from internal and external incidents were maximised.
- The practice offered a variety of pre-bookable appointments, walk-in clinics and extended opening hours.
- Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment. Information was provided to help patients understand the care available to them.
- The practice safely and effectively provided services for all patient groups. The staff were caring and ensured all treatments being provided followed best practice guidance. The practice was well-led and responsive to patients’ needs.
- The practice had systems and processes in place to ensure they provided a safe service.
- The practice had an effective governance system in place, was well organised and actively sought to learn from performance data, complaints, incidents and feedback.
Action the provider SHOULD take to improve
- Ensure all Significant Event Analysis reports (SEA’s) are recorded with the date and action taken and recorded at formal practice meetings.
- Ensure the infection control lead is fully aware and is trained appropriately for their role and responsibilities.
- Ensure clinical audit cycles are completed and reviewed to ensure their effectiveness.
- Ensure appropriate multi-disciplinary team meetings, including when safeguarding incidents occur are held and documented.
- Ensure a process is in place to ensure patients who use the out of hours service are checked following an episode of care.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice