Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Fernbank Surgery, Lytham St Annes on 7 April 2016. Overall the practice is rated as good. Our key findings across all the areas we inspected were as follows:
- There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
- Risks to patients were assessed and well managed.
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had the skills, knowledge and experience to deliver effective care and treatment.
- 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.
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Thorough recruitment procedures were carried out before staff were employed.
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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.
- 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.
- The provider was aware of and complied with the requirements of the Duty of Candour.
There were two areas of outstanding practise:
- One of the GPs chaired the local neighbourhood meeting. This included benchmarking referrals against other practices and reviewing all local data for trends and actions required.
- We looked at two clinical audits completed in the last two years. These were completed audits where the improvements made were implemented and monitored.Findings were used by the practice to improve services. For example, an audit of gestational diabetes led to a review of NICE guidance being followed in the practice and annual follow up reviews for patients.
The areas where the provider should make improvements :
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice