2 November 2015
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Fulfen Practice on 2 November 2015. 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 safety 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 could make an appointment with a named GP and that there was continuity of care, with urgent appointments available the same day.
- Risks to patients were assessed and well managed, with the exception of those relating to infection prevention and control.
- The practice had regular meetings for all staff.
- 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.
However there were areas of practice where the provider needs to make improvements.
The provider must:
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Ensure that an effective system is in place to protect patients from the risks of infection.
The provider should:
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Assess the emergency medications held at the practice to ensure they are age appropriate.
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Ensure that an audit trail exists to record the status of action points from staff meetings.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice