Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection Whitby Group Practice on 6 October 2016. We visited the main surgery in Whitby and the branch surgery at Robin Hoods Bay during the inspection. 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 with systems in place for reporting and recording significant events.
- Risks to patients were mostly assessed and well managed. However, we found the arrangements for managing medicines in the practice did not always keep people safe.
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
- 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. Improvements were made to the quality of care as a result of complaints and concerns.
- Patients 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 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.
Governance systems were in place. An understanding of the performance of the practice was maintained in most areas. However we identified oversight in some areas of medicines management.
We saw areas of outstanding practice:
The practice employed an outreach nurse who provided support to patients living in care homes and patients who were housebound.
The practice had a nominated carers champion. 5% of the practice population had been identified as carers and were being provided with options of health care treatment and support.
One of the GP’s has supported the Royal Lifeboat Institute for 25 years. They have been awarded an Honorary Medical Advisor for the Whitby Lifeboat RNLI for their long service. They have been doing the medicals for the lifeboat men and providing life support to them training for around 25 years.
The area where the provider must make improvement is:
Take action to address identified concerns in respect of the management of medicines.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice