15 December 2015
During a routine inspection
Letter from the Chief Inspector of General Practice
Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this relates to the most recent information available to the CQC at that time.
We carried out an announced comprehensive inspection on the 15 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 an effective system in place for reporting and recording 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 generally found it easy to make an appointment, 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.
-
Risks to patients were assessed and well managed.
However, there were also areas of practice where the provider needs to make improvements.
The practice should -
-
Proceed with plans to obtain a defibrillator – a device used to restart a person’s heart in an emergency.
-
Continue with efforts to increase the patient participation group to make it more representative of the practice population.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice