18 November 2015
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Dr’s Brear Wimbourne and Fleet, also known as York Bridge Surgery on 18 November 2015. We had previously visited the practice in October 2014, when the surgery was rated as requires improvement. We were able to check that the required actions had been undertaken.
Overall the practice is now rated as good.
Our key findings across all the areas we inspected were as follows
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There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
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It was clear staff had a commitment to providing safe and effective care. The practice had a strong commitment to supporting staff training and development
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Risks to patients were assessed and well managed.
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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.
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The practice had acted upon and improved recruitment and employment procedures
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Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
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Information about services and how to complain was available and easy to understand.
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Feedback from patients about their care was positive. Patients commented that staff were brilliant and were described as caring and professional.
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Three comment cards completed by patients said they found it difficult to get through to the practice in the morning to make an appointment with a named GP, however when they did there were urgent appointments available the same day.
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The practice had good facilities and was well equipped to treat patients and meet their needs.
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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.
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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 more effective communication with the Patient Participation Group to obtain patient feedback to inform and improve services
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Improve signage to indicate wheelchair access at the rear of the building
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Ensure when reviewing policies that any reference to external organisations who no longer exist are removed
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Ensure that audit results are shared with all staff to consistently support improved outcomes
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice