This practice is rated as Good overall. (Previous inspection March 2015 – Good)
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
We carried out an announced comprehensive inspection of Dr N H Gibson and partners known as ‘Bodriggy Health Centre’ on 12 April 2018. The inspection was a routine inspection as part of our inspection schedule.
At this inspection we found:
- The practice had clear systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
- The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
- Feedback from all 22 patients at the inspection, verified staff involved and treated them with compassion, kindness, dignity and respect.
- Patients found the appointment system easy to use and reported that they were able to access care when they needed it. Routine appointments for both GPs and nurses were available on the day.
- There was a strong focus on continuous learning and improvement at all levels of the organisation.
- The practice had a strong focus on continuity of care with personal GP lists. Succession planning was underway for when staff retired and projected increases in the patient list size due to new housing developments in the area.
We saw one area of outstanding practice:
A holistic approach improving patients quality of life is promoted with several initiatives set up and funded by the practice, including: arts for health (run at the practice for patients), a dose of nature (gardening for mental and physical well-being) and the Hayle Breezers Group (for patients living with chronic respiratory conditions).
The areas where the provider should make improvements are:
- Review the arrangements for the secure storage and tracking of prescription forms, in accordance with national guidance.
- Review the system for managing codes attached to patient health priorities so that they are regularly monitored for assurance of accuracy and accessibility.
- Review the Disclosure and Barring Service (DBS) policy to demonstrate how the criteria for new checks are needed. This includes carrying out risk assessments to support the decision made.
- Review the quality assurance system to include: Monitoring when GPs and any locum GPs used are due to revalidate; Increased frequency of clinical audit to improve patient care, and reviewing and updating policies.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice