17 November 2015
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection of Drs Kessler, McRobert, Weil, Blythe, Goodger and Platt at Gaywood House Surgery on 17 November 2015. 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 an effective system in place for reporting and recording significant events.
- Risks to patients were assessed and well managed.
- 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.
- 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 were able to make an appointment with a named GP which provided continuity of care; urgent appointments were available the same day.
- The practice had purpose built 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 actively sought feedback from 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:
- Produce a written vision for the practice which encompasses the planned changes to service provision.
- Develop wider use of formal consultation and surveys for staff so they are able to contribute to the vision and values of the practice.
- Review risk assessments for the service to ensure they cover all the areas of the building and functions which the practice has responsibility for such as risk assessment of the individual rooms to ensure they are fit for purpose.
- Further develop the internal audit processes so as to be able to demonstrate the quality of the service such as timely response to telephone calls.
- Relocate the emergency equipment and medicines to a more accessible place.
- Review the infection control audit to ensure it reflects the latest best practice guidance.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice