This practice is rated as Requires Improvement overall.
The key questions at this inspection are rated as:
Are services safe? – Inadequate
Are services effective? – Requires Improvement
Are services caring? – Good
Are services responsive? – Good
Are services well-led? – Requires Improvement
We carried out an announced comprehensive inspection at 612 Saffron Lane on 23rd October 2018 and at 509 Saffron Lane on 25th October 2018. We carried out a follow up visit on the 6th November 2018 to obtain further information on clinical areas which were identified at the visit on 25th October. The comprehensive inspection was completed due to the practice being newly registered in October 2017.
At this inspection we found:
- The practice had systems to record and investigate significant events and complaints. When incidents did happen, the practice usually learned from them and implemented some systems to improve their processes.
- The practice did not have effective systems for receiving and actioning nationally available medicine and patient safety alerts.
- The practice did not have effective processes to ensure testing was being done for patients who were prescribed medicines requiring regular monitoring. We also found the practice did not have effective systems to assure that patients were being prescribed medicines safely.
- The practice had a mix of clinical staff providing appointments suitable for a range of patients. This included a pharmacist, a paramedic and nurses and doctors trained in specific areas. The practice also had specialised administrative roles for liaising with patients and dealing with prescription requests.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
- The practice were involved in research projects in the East Midlands network and had achieved the status of a leadership practice for training.
The areas where the provider must make improvements are:
- Ensure care and treatment is provided in a safe way to patients
We also identified an area of practice where the provider should make improvements:
- Review the process for monitoring and acting on patient satisfaction and feedback
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice
Please refer to the detailed report and the evidence tables for further information.