This practice is rated as Good overall. (Previous rating September 2016 – Good)
The key questions at this inspection are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
We carried out an announced comprehensive inspection at Lavant Road Surgery on 4 October 2018 as part of our inspection programme.
At this inspection we found:
- The practice had systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
- The practice reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Patients found the appointment system easy to use and reported that they could access care when they needed it. However, some felt that the wait for a routine appointment with their own GP was too long.
- The environment was clean and hygienic.
- Staff had the skills, training and knowledge they required to undertake their roles effectively.
The areas where the provider should make improvements are:
- Develop a formal, written policy and procedure for identifying and reporting significant events so that staff are clear on what to report and how.
- Improve performance against the quality and outcomes framework indicators for diabetes, hypertension, chronic lung disease and mental health indicators.
- Keep a central record that provides an audit trail of action taken in response to external medicine and patient safety alerts.
- Provide awareness training for reception staff on the ‘red flag’ sepsis symptoms that might be reported by patients and how to respond.
- Ensure that all the practice’s complaints literature provides the name and contact details for the practice manager, NHS England, the parliamentary and health service ombudsman and independent advocacy support services.
- Increase uptake of cervical screening amongst eligible patients.
Professor Steve Field CBE FRCP FFPH FRCGP