9 June 2015
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at The Jolly Medical Practice on 9 June 2015. Overall the practice is rated as good.
Specifically, we found the practice to be good for providing, safe, effective, caring, responsive and well led services to patients.
Our key findings across all the areas we inspected were as follows:
- Staff understood and fulfilled their responsibilities to raise concerns and report incidents and near misses. All opportunities for learning from internal and external incidents were maximised.
- The practice was actively involved in local and national initiatives to enhance the care offered to patients.
- Risks to patients were assessed and well managed.
- Patients’ needs were assessed and care was planned and delivered after considering best practice guidance.
- Staff had received training appropriate to their roles and any further training needs had been identified and planned.
- Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment. Information was provided to help patients understand the care available to them.
- The practice implemented suggestions for improvements and made changes to the way it delivered services as a consequence of feedback from patients
- The practice had a clear vision that had improvement of service quality and safety as its top priority. High standards were promoted and there was good evidence of team working.
We saw several areas of outstanding practice including:
- A comprehensive locum pack which contained processes and paperwork used by the practice. This was available complete with copies of forms to be used for referral to other services and key contact numbers for practice member’s and other services that may be required.
- An electronic pad for recording friends and family feedback was available to the patients in the waiting room.
- An electrocardiogram service was linked directly to a clinician for instantly reporting on ECG’s taken within the practice. An ECG records the electrical activity of the heart.
- The practice had achieved 100% of children vaccinated in the childhood immunisation programme despite the challenges presented by a culturally diverse population where English was not the first language for many patients.
- Awareness of staff to signpost patients to alternative and supportive services for those patients who may experience long delays in their referral to other NHS services fin particular Mental Health support for teenagers.
In addition the provider should;
- Ensure team meetings are scheduled throughout the year to ensure staff are fully aware of changes at the practice.
- Ensure the practice nurse is fully involved in clinical and professional meetings within the Clinical Commissioning Group and practice to ensure she is up to date with changes in professional practice.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice