Background to this inspection
Updated
7 December 2018
The Whitby Group Green Practice is operated by the provider Whitby Group Practice Surgery – Green. The practice is one of three practices based within the same building. The three practices jointly own the premises and employ the practice manager, advanced nurse practitioners, nursing team and administration and reception staff. The three practices each have their own medical team of GPs, Whitby group Practice – Green has four GPs (one male and three female).
The total practice list size for Whitby Group Practice Surgery – Green is 5,200. The practice is part of West Cheshire Clinical Commissioning Group (CCG).
The practice provides a range of primary medical services under a general medical services (GMS) contract and is registered to provide the following regulated activities:
Diagnostic and screening procedures
Family Planning
Maternity and midwifery services
Surgical procedures
Treatment of disease, disorder or injury
Out of hours primary medical services are accessed by calling NHS 111
Updated
7 December 2018
This practice is rated as Good overall. (Previous rating February 2018 – Requires Improvement)
The key questions at this inspection 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 Whitby Group Practice Surgery – Green on 13 November 2018 as part of our inspection programme. We followed up on the areas that required improvement at the previous inspection (February 2018) and found these had improved.
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.
- The practice reviewed the effectiveness and appropriateness of the care it provided. Care and treatment was delivered according to evidence based guidelines.
- Staff involved and treated patients with compassion, kindness, dignity and respect.
- Patient feedback identified that sometimes it was difficult to get through by telephone. The practice was monitoring this and acting to improve access by reviewing the telephone system.
- There were systems in place to mitigate safety risks including health and safety, infection control and dealing with safeguarding.
- 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 reviewed and considered patient views through surveys and a patient participation group (PPG).
- Staff worked well together as a team and all felt supported to carry out their roles.
- There was a focus on learning and improvement at all levels of the organisation.
- The provider was aware of the requirements of the duty of candour.
The areas where the provider should make improvements are:
- Review the practice's storage of historic paper medical records to ensure they are stored safely.
- Review the security of printer prescription pads in the practice to ensure they are safe at all times.
- Review the system for reviewing incidents and significant events to include identification and recording of themes and trends.
- Review the system for implementation of National Institute for Health and Care Excellence guidelines.
- Review the system of appraisal to include salaried GPs.
- Review meetings structures to ensure all meetings are documented and notes of the meetings are disseminated.
- Implement an audit programme/plan that is based on national, local and practice priorities.
Working age people (including those recently retired and students)
Updated
7 December 2018
People experiencing poor mental health (including people with dementia)
Updated
7 December 2018
People whose circumstances may make them vulnerable
Updated
7 December 2018