29 February 2016
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at the Philip Lane Surgery on 29 February 2016. 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 generally well managed. However nurses had not signed the Patient Group Directions (PGD’s).
- 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. However training records were not kept for the locum nurses.
- The practice had not obtained employment references and this was not detailed as a requirement within its recruitment policy.
- 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 with a named GP and that 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.
The areas where the provider should make improvement are:
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Ensure employee references are obtained and the collection of references is added to the recruitment policy.
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Ensure that copies of locum nurse qualifications and training details are kept on file.
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Ensure that appropriately signed PGD’s are on file for practice nurses.
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Implement a schedule for the cleaning of clinical equipment.
Professor Steve Field CBE FRCP FFPH FRCGP
Chief Inspector of General Practice