Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at South Reading Surgery on 11 January 2017. The overall rating for the practice was inadequate and the practice was placed in special measures for a period of six months. The full comprehensive report on the January 2017 inspection can be found by selecting the ‘all reports’ link for South Reading Surgery on our website at www.cqc.org.uk.
This inspection was undertaken following the period of special measures and was an announced comprehensive inspection on 13 September 2017. The practice is rated as good for safe, caring and effective services and requires improvement for responsive and well led services. Overall the practice is now rated as requires improvement.
Our key findings at the September 2017 inspection were as follows:
- There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
- Risks to patients were assessed and well managed, with the exception of those relating to prescription security, emergency medicine provision and patient group directions.
- Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
- There was not an effective system for ensuring all referrals under the two week wait system, for potential cancer diagnosis, were reviewed and an appointment made.
- The majority of patients were positive about their interactions with staff and said they were treated with compassion and dignity.
- Results from the latest GP national patient survey were poor for several areas of care.
- The practice had reviewed the organisational structure and delegated responsible individuals into key roles. Staff told us communication links between staff and management had improved.
- Governance arrangements had not identified some risks, but these were quickly rectified on the day of the inspection.
However, there were also areas of practice where the provider needs to make improvements.
Importantly, the provider must:
- Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
In addition the provider should:
- Ensure all blank prescriptions are suitably recorded and their use tracked through the practice.
- Ensure that the practice engages with patients whilst increasing awareness of the NHS Friends and Family Test to determine appropriate action with a view to monitor the patient experience.
- Ensure a detailed action plan is in place to respond to poor patient feedback from the GP national survey.
- Ensure any changes to emergency medicines provision is risk assessed and discussed.
I am taking this service out of special measures. This recognises the improvements made to the quality of care provided by the service.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice