26 April 2017
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Green Wrythe Surgery on 8 January 2015. The overall rating for the practice was requires improvement. The full comprehensive report on the January 2015 inspection can be found by selecting the ‘all reports’ link for Green Wrythe Surgery on our website at www.cqc.org.uk.
This announced comprehensive inspection was undertaken on 26 April 2017. The provider had made improvements in all the areas where issues were identified in the inspection in January 2015. Overall the practice is now rated as good.
Our key findings 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 including appropriate recruitment checks for staff.
- 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. We reviewed a sample of patient records and found that the care was delivered in line with current evidence based guidance.
- 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.
- Seven out of eight patients we spoke to said they found it was difficult to get an emergency appointment and said they had to wait approximately a week to get an appointment with a named GP. However, we found that emergency appointments were available on the day of inspection.
- 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, however the Patient Participation Group felt that some of the suggestions they made were not acted on.
- The provider was aware of and complied with the requirements of the Duty of Candour.
However, there were also areas of practice where the provider needs to make improvements.
The provider should:
- Review practice systems to ensure there is a clear system in place to monitor the implementation of medicines and safety alerts.
- Ensure there are failsafe systems in place to monitor refrigerators where medicines are stored.
- Ensure the business continuity plan is up to date.
- Review how patients with caring responsibilities are identified to ensure information, advice and support can be made available to them.
- Review practice procedures to ensure all patients with a learning disability have regular health checks.
- Review the national GP patient survey results and address low scoring areas to improve patient satisfaction.
- Review practice procedures to ensure all policies and procedures were reviewed appropriately to ensure they are up to date.
- Consider documenting discussions from practice nurse meetings.
- Review practice procedures to ensure that the suggestions made by the PPG were acted on appropriately.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice