3 May 2016
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at New Islington Medical Practice on 3rd May 2016. Overall the practice is rated as requires improvement.
Our key findings across all the areas we inspected were as follows:
- The practice did have arrangements in place to safeguard children and vulnerable adults from abuse. However there was inconsistency with clinicians on the understanding of Deprivation of Liberty Safeguards (DOLS).
- Risks to patients were not fully assessed, for example there was no clear process in place for the Patient Directions Group (PGD enable the nurses to administer vaccinations safely to patients).
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
- There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
- Patients said they found it easy to make an appointment with a named GP and there was continuity of care, with urgent appointments available the same day.
- Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
- The practice had good facilities and was well equipped to treat patients and meet their needs.
- The provider was aware of and complied with the requirements of the duty of candour.
The areas where the provider must make improvement are:
- Ensure that all potential risks are assessed and managed appropriately, specifically in relation to emergency medicines and staffing.
- The provider must ensure all staff receive training which includes Deprivation of Liberty Safeguards (DOLS). A clear record of all mandatory training for staff must be kept.
- The provider must ensure all policies and protocols are in place and up to date so they can be assured all clinicians and staff follow the same procedure.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice