8 January 2016
During a routine inspection
We carried out an announced comprehensive inspection at Wynyard Road Practice on 8 January 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
- Staff understood and fulfilled their responsibilities to raise concerns, and to report incidents and near misses. Information about incidents was recorded, monitored, appropriately reviewed and addressed.
- Patients’ needs were assessed and care was planned and delivered following best practice guidance. Staff had received training appropriate to their roles and any further training needs had been identified and planned.
- 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.
- Patients said they found it easy to make an appointment and that there was continuity of care, with urgent appointments available the same day.
- The practice was equipped to treat patients and meet their needs.
- Staff felt supported by management. The practice proactively sought feedback from staff and patients, which it acted on.
The area where the provider should make improvement is:
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Governance systems and process were not fully developed to monitor and assess the whole service in relation to risk and improvement.This included quality assurance of internal processes.
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A system of recording significant events that detail action taken and lessons learned needs implementing fully.
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Recruitment arrangements should include all necessary employment checks for all staff.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice