We had previously carried out an announced comprehensive inspection at Dr. Wilks & Partners (also known as Witley & Milford Medical Partnership) in May 2018. The overall rating for the practice was requires improvement. The practice was rated as requires improvement in safe and effective, good in responsive and well-led, and outstanding in caring. The full comprehensive report on the May 2018 inspection can be found by selecting the ‘all reports’ link for Dr. Wilks & Partners on our website www.cqc.org.uk
At the May 2018 inspection we found that the provider had not:
- Ensured care and treatment was provided in a safe way to patients. In particular risk assessments and action plans in relation to Legionella, fire and health and safety.
- Ensured the management of medicines kept patients safe. In particular, in relation to the security of blank prescription stationery for use in computers, controlled drugs and emergency medicines.
- Ensured staff employed in the provision of regulated activities had received the appropriate training and professional development necessary to enable them to carry out their duties.
There were also areas where the provider should make improvements by:
- Reviewing their complaints procedure so that the information within this complies with the NHS complaints procedure.
We carried out an announced inspection at Witley & Milford Medical Partnership on 15 May 2019. This was to confirm the practice had carried out their plan to make the improvements required as identified at our previous inspection on 24 May 2018. We found that the practice had addressed all of the concerns previous found and was now compliant in all areas.
We have rated this practice as good overall and in all of the key questions. They have been rated as good overall for all population groups.
We based our judgement of the quality of care at this service on a combination of:
- what we found when we inspected
- information from our ongoing monitoring of data about services and
- information from the provider, patients, the public and other organisations.
We rated the practice good for providing safe, effective, caring, responsive and well-led care because:
- The practice provided care in a way that kept patients safe and protected them from avoidable harm.
- Patients received effective care and treatment that met their needs.
- Staff dealt with patients with kindness and respect and involved them in decisions about their care.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
- There was a clear leadership structure and staff felt supported by management.
- Staff worked well together as a team and all felt supported to carry out their roles. There was a strong team ethos and culture of working together for a common aim.
We saw one area of outstanding practice: -
- The practice had installed an online general practitioner consultation platform ‘AskMyGP’. This meant that patients could contact the practice at any time of the day and request a video chat, a telephone appointment, a face to face appointment or an e-mail reply. If patients used this service during the working day all patients would be replied to in that day. If it was during out of hours the practice guaranteed a response the next working day. Requests would be reviewed and the appropriate response given. For example, GPs could decide that a face to face appointment would be more appropriate – which could be booked for the patient there and then. The practice was able to show us data which evidenced that over an eight-week period the practice had received 6,099 requests and that the average time to respond took 71 minutes. We were also able to see data that this had reduced the amount of patients calling for an appointment, had improved the time GPs could spend with patients and improved patient satisfaction.
Whilst we found no breaches of regulations, the provider should:
- Review the medicines policy to ensure all medicines not appropriate for a nomad tray are listed.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care