Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr BJ Batty & Partners, Woodlands Medical Centre on 8 September 2015. 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. Learning from incidents was recorded, monitored, appropriately reviewed and addressed.
- Complaints, both verbal and written, were responded to openly and thoroughly investigated.
- Not all risks to patients were assessed and well managed, including infection control and medicines management.
- Staff told us they received training and support to ensured they were safe and able to fulfil their roles. There was not adequate monitoring of training to ensure core knowledge was updated for staff.
- Recruitment of staff ensured they were safe and fit to work with patients.
- The practice was clean, but some maintenance issues were noted which potentially affected infection control.
- Patient care was planned and delivered in line with national guidance and best practice.
- There was monitoring of patient care and a programme of clinical audit. The number of audits was small considering the size of the practice’s population and number of GPs.
- 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.
- Patients said they found it difficult to make an appointment with a named GP. The practice was aware of these concerns and was in the process of trying to improve the appointment system.
- The practice had good facilities and was well equipped to treat patients and meet their needs. The premises were modern and enabled access to those with limited mobility.
- 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.
- Patient views were sought and acted on in all key decisions undertaken by the practice, including those of the large reference group and patient group which met regularly.
There were areas of practice where the provider must make improvements:
- Implement a comprehensive policy and audit tool for infection control (this should include a sharps injury protocol) and ensure that any risks identified with cleaning and infection control are acted on.
- Improve medicines protocols and policies to ensure national guidance is followed.
- Emergency medicines must be stored in an area known to all staff and the list used to monitor the medicines must accurately reflect those kept on-site. Storage of vaccines must ensure their effectiveness and safe use.
- Continue to review and amend the appointment system to ensure patients are able to access appointments.
Additionally the provider should:
- Identify if further clinical audit would enhance patient outcomes
- Review the training logs used to monitor staff training to ensure all courses identified as necessary by the practice are undertaken by staff.
- Risk assess the emergency medicines available to GPs at the both Woodlands Medical Practice and Blewbury Practice sites. Namely the availability of adrenaline.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice