19/07/2016
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr Simon John Shaw on 19 July 2016. Overall the practice is rated as good. Our key findings across all the areas we inspected were as follows:
- There was an open and transparent approach to safety. Although there was a stable staff team established, for future recruitment purposes we noted there was no formal recruitment policy. This should be implemented to include the information required in the recruitment checklist.
- Systems were in place for reporting and recording significant events.
- Risks to patients were assessed and well managed. However infection control was not being regularly audited.
- 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 were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
- Information about services and how to complain was available and easy to understand.
- Patients said they found it easy to make an appointment with the GP and that there was continuity of care, with urgent appointments available the same day.
- The practice had good facilities and was well equipped to treat patients and meet their needs. There was a clear leadership structure and staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
- The provider was aware of and complied with the requirements of the Duty of Candour.
The areas where the provider should make improvements :
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Ensure a formal recruitment policy is implemented which includes the information required in the recruitment checklist.
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Maintain security in unauthorised areas.
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The practice should promote online services to all patients.
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The practice should develop a patient reference group in order to consult more widely about patient views and experiences and seek relevant improvement.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice