This practice is rated as Good overall. (Previous inspection October 2015– Good)
The key questions are rated as:
Are services safe? – Good
Are services effective? – Good
Are services caring? – Good
Are services responsive? – Good
Are services well-led? - Good
We carried out an announced comprehensive inspection at Drs Williams, Selby, Johnstone & Where (Riverside Surgery) on 24 April 2018 as part of our inspection programme.
At this inspection we found:
- The practice had systems to manage risk so that safety incidents were less likely to happen. When incidents did happen, the practice learned from them and improved their processes.
- There were systems in place to mitigate safety risks including health and safety, infection control and dealing with safeguarding.
- The practice routinely reviewed the effectiveness and appropriateness of the care it provided. It ensured that care and treatment was delivered according to evidence- based guidelines.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Patients found the appointment system easy to use and reported that they were able to access care when they needed it.
- 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 sought patient views about improvements that could be made to the service; including having an active patient participation group (PPG) and acted, where possible, on feedback.
- Staff worked well together as a team, knew their patients well and all felt supported to carry out their roles.
- The provider was aware of the requirements of the duty of candour.
The areas where the provider should make improvements are:
- Review the staff training plan and matrix, to reflect required training and development needs and to ensure training is monitored so that all staff are appropriately trained.
- Review the implementation of the safeguarding policies so that staff are aware of the up to date policies, procedures and guidance contained within them.
- Review the implementation of the cold chain policy to ensure staff are fully trained and aware of the procedures to be followed including documenting anomalies in the temperatures.
- Review meeting minutes so that clear detail is documented particularly for significant events and complaints and enables good communication throughout the practice.
- Review audits to include an annual program/plan of audits based on local, national and service priorities.
Professor Steve Field CBE FRCP FFPH FRCGPChief Inspector of General Practice