Letter from the Chief Inspector of General Practice
This practice is rated as Requires improvement overall. (Previous inspection 14/01/2015 – Good)
The key questions are rated as:
Are services safe? – Requires improvement
Are services effective? – Good
Are services caring? – Requires Improvement
Are services responsive? – Good
Are services well-led? - Good
As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:
Older People – Requires improvement
People with long-term conditions – Requires improvement
Families, children and young people – Requires improvement
Working age people (including those recently retired and students – Requires improvement
People whose circumstances may make them vulnerable – Requires improvement
People experiencing poor mental health (including people with dementia) – Requires improvement
We carried out an announced inspection at The OM Surgery on 6 December 2017 as part of our inspection programme.
At this inspection we found:
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The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
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However, patients were potentially at risk of harm because systems relating to medicines safety were not fully effective to keep patients safe.
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Some remedial actions identified in the practice’s legionella action plan had not been completed in line with the recommended timescales following a risk assessment.
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The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
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Staff involved and treated patients with compassion, kindness, dignity and respect. Feedback from patients we spoke with during our inspection was highly positive about the caring approach of all staff. However, results from the national GP patient survey showed areas of lower than average patient satisfaction in some areas.
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Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
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The practice understood the needs of its population and tailored services in response to those needs.
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There was a strong focus on continuous learning and improvement at all levels of the organisation.
The areas where the provider must make improvements as they are in breach of regulations are:
The areas where the provider should make improvements are:
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice