Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Friern Barnet Medical Centre on 1 July 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 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 the safe storage of vaccines and infection control.
- 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.
- 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 we spoke with on the day expressed some concerns about phone access but were otherwise positive about how they were able to get appointments when they needed them.
- 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.
However there were areas of practice where the provider needs to make improvements.
Importantly the provider must:
- Ensure that vaccines are safely managed and stored.
- Ensure that appropriately signed Patient Group Directions (PGDs) are on file for the practice nurse and that appropriately signed Patient Specific Directions (PSDs) are on file for the health care assistant; to ensure the safety of vaccinations being given.
- Ensure that annual infection prevention and control audits take place in order to identify and act on infection risks.
In addition, the provider should:
- Review the practice's complaint system to ensure that learning from complaints is used to improve the quality of care.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice