Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Portsdown Group Practice, Cosham Park Avenue Surgery 15 January 2015. Overall the practice is rated as good.
Specifically, we found the practice to be good for providing well-led, effective, caring and responsive services. It was also good for providing services to older people, people with long term conditions, families, children and young people, working age people, people whose circumstances may make them vulnerable and people experiencing poor mental health. It required improvement for providing safe services.
Our key findings across all the areas we inspected were as follows:
Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about safety was recorded, monitored, appropriately reviewed and addressed.
Risks to patients were assessed and well managed, with the exception of those relating to Legionella.
Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned for.
Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
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.
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.
We saw one area of outstanding practice.
The practice had a duty GP each day who answered the phones and was joined by two further GPs between 9.00am and 9:30am. The GPs triaged the calls dealing over the phone, giving general advice, booking urgent appointments or directing patients to the nurse practitioner.
However, there were also areas of practice where the provider needs to make improvements.
Importantly, the provider must:
Ensure risk assessments related to the Control of Substances Hazardous to Health (COSHH) are carried out effectively and all cleaning procedures are robust enough to ensure control of infections in the practice.
The practice should :
Review the policy, recording and analysis in relation to comments and complaints.
Review disposal of sharps boxes and security of external waste bins.
Discuss clinical audits fully with relevant staff members.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice