Archived: Dr Simon Woolf Also known as Mitchley Avenue Surgery

Letter from the Chief Inspector of General Practice

We carried out an announced comprehensive inspection at Dr Simon Woolf (also known as Mitchley avenue surgery) on 17 December 2015. 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 and a system in place for reporting and recording significant events. However we noted that improvements could be made in the capturing of significant events.
• 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 a named 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 improvement are:

• The practice should ensure its significant events management process is improved to capture the full range of relevant events

• Ensure a patient participation group is made available in the practice for the patient population

• Ensure revision histories of its policies and procedures are well documented so authorising person(s), review and revision dates are included.

Professor Steve Field (CBE FRCP FFPH FRCGP) 

Chief Inspector of General Practice