This practice is rated as Good overall. (Previous inspection 15 October 2014– Good overall)
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
As part of our inspection process, we also look at the quality of care for specific population groups. The population groups are rated as:
Older People – Good
People with long-term conditions – Good
Families, children and young people – Good
Working age people (including those recently retired and students – Good
People whose circumstances may make them vulnerable – Good
People experiencing poor mental health (including people with dementia) - Good
We carried out an announced comprehensive inspection at Dingle Park Practice on 16 March 2018 as part of our routine inspection programme.
At this inspection we found:
- There was an open and transparent approach to safety and a system in place for reporting and recording significant events.
- Staff were aware of current evidence based guidance. Staff had been trained to provide them with the skills and knowledge to deliver effective care and treatment.
- Care Quality Commission (CQC) comment cards reviewed indicated that 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. The practice constantly sought ways to improve the quality of care and actively monitored complaints, incidents, audits and survey results.
- Results from the national GP patient survey from July 2017 showed that patient’s satisfaction with the service and how they could access care and treatment was much higher compared to local and national averages. For example, 97% of patients who responded would recommend this surgery to someone new to the area (CCG average 80%; national average 77%).
- There was a clear leadership structure and the practice was well organised. Staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
- The provider was aware of the requirements of the duty of candour.
We saw areas of outstanding practice:
- The practice had identified previous immunisation uptake rates for children were low and had taken a proactive approach to tackle this by employing an additional member of staff-a child immuniser, improved the recall and alert system and ensured GPs had access to vaccinations to increase opportunistic vaccinations. This had resulted in a significant improvement and uptakes were 97%.
- The practice proactively supported patients to lead healthier lives. They had held a health awareness review week in 2015 when a variety of supporting agencies had been invited into the practice to help patients with their lifestyle to promote healthy living or address any social needs. This had been well received and the practice was planning a further event running for three weeks in April 2018.
The areas where the provider should make improvements are:
- Review the system for ensuring all patient group directives for the administration of vaccinations are kept up to date.
- Review the prescribing policies so as to include information to staff for how to manage uncollected prescriptions.
- Review the patient information literature to include details of who patients can contact as an alternative to the practice if they wished to make a complaint.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice