30 June 2015
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Brunswick Surgery on 30 June 2015. Overall the practice is rated as good.
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.
Our key findings were as follows:
- Staff understood and fulfilled their responsibilities to raise concerns and report incidents. Information about safety was recorded and monitored with actions taken to make improvements when required;
- Risks to patients were assessed and well managed;
- Patients’ needs were assessed and care and treatment was planned and delivered following best practice guidance. Staff received training to help them carry out their roles and further training needs were identified and planned;
- Patients told us they were treated with respect and their privacy and dignity were maintained and they were involved in decisions about their care and treatment;
- Information about the services provided and how to make a complaint were accessible to patients and easy to understand;
- Patients told us they found it easy to make an appointment with their preferred GP and that they received continuity of care;
- Appointments were available outside of working and school hours and urgent appointments available on 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 the partners and
- The practice sought feedback from patients and staff and acted upon it.
We saw several areas of outstanding practice including:
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The Practice Nurse holds an angina clinic with a training and education programme, which gave patients the opportunity to understand their condition and learn how to manage and take control of their condition. (This is a service commissioned by Kingston CCG at the Health Centre, and is open to all patients registered in Kingston CCG).
However there were areas where the provider should make improvements:
- Ensure the Patient Participation Group has the opportunity to meet with practice staff.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice