6 January 2016
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Bartley Green Surgery on 6 January 2016. Overall the practice is 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 systems in place for reporting and recording significant events.
- Risks to patients were assessed and managed but not always in a systematic way.
- 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. Professional development was encouraged.
- 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about services and how to complain was available but had not been well advertised and contained information that was no longer current.
- Patients gave a mixed account about how easy they found it to access services. The practice was aware and was taking steps to try and improve this.
- 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, which it acted on.
- The provider was aware of and complied with the requirements of the Duty of Candour.
The areas where the provider should make improvement are:
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Strengthen recruitment processes to ensure the receipt of checks undertaken have been followed.
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Ensure robust systems are in place for monitoring and ensuring staff training has been completed and is up to date.
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Formally review access to emergency equipment to ensure that all risks associated with providing care and treatment in a medical emergency have been appropriately managed.
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Ensure patients are made aware of the practice complaints system and that information supplied about the process is accurate.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice