Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Brentford Group Practice on 21 October 2015. The practice was rated as requires improvement for providing safe and well-led services and the overall rating for the practice was requires improvement. The full comprehensive report on the October 2015 inspection can be found by selecting the ‘all reports’ link for Brentford Group Practice on our website at www.cqc.org.uk.
This inspection was an announced comprehensive follow up inspection on 21 August 2017 to check for improvements since our previous inspection. Overall the practice is now 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 a system in place for reporting and recording significant events.
- Risks to patients were assessed and well managed, with the exception of those relating to testing electrical equipment, checking medical supplies and tracking blank prescription forms.
- Staff were aware of current evidence based guidance. Most staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment. However, not all had received training in the Mental Capacity Act 2005.
- Results from the national GP patient survey showed patients were treated with compassion, dignity and respect and were involved in their care and decisions about their treatment.
- Information about services and how to complain was available. Improvements were made to the quality of care as a result of complaints and concerns.
- Patients we spoke with 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.
- 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 sought feedback from staff and patients, which it acted on.
- The provider was aware of the requirements of the duty of candour. Examples we reviewed showed the practice complied with these requirements.
The areas where the provider should make improvement are:
- Implement a system to ensure risks to patients are assessed and well managed. For example, the safe use of equipment and medical supplies, tracking blank prescriptions, and updating the business continuity plan.
- Implement a system to ensure clinical audits are recorded in a consistent format to demonstrate effectiveness.
- Provide staff with access to appropriate training and review the protected learning time for nursing staff.
- Implement a system to ensure results are received for samples sent for the cervical screening programme.
- Continue to identify and support patients who are carers.
- Review ways to improve patient satisfaction with the convenience and punctuality of appointments.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice