20 July 2016
During a routine inspection
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at The New Brewery Lane Surgery on 20 July 2016. Overall the practice is rated as good. The address shown above is for the branch practice which is the address registered with the CQC. The main surgery is located at The Sidings Health Centre, The Sidings, Savile Town, Dewsbury,WF12 9QU.
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. We discussed events that had been dealt with successfully but not recorded as a significant event. We also noted that minor administrative errors were not recorded in an incident log.
- Risks to patients were assessed and well managed.
- Staff assessed patients’ needs and delivered care in line with current evidence based guidance. Staff had been trained to provide them with the skills, knowledge and experience to deliver effective care and treatment.
- Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
- There was an arrangement in place with local mosques to ensure that death certificates were issued quickly and to provide support to bereaved families.
- Information about services and how to complain was available and easy to understand. Improvements were made to the quality of care as a result of complaints and concerns.
- Patients said they found it easy to make an appointment with a named GP and there was continuity of care. In response to patient feedback the practice had improved access to appointments for both urgent and non-urgent care.
- 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 practice provided services in line with the local Clinical Commissioning Group (CCG) ‘care closer to home’ policy. For example, phlebotomy, spirometry, 24 hour blood pressure monitoring and electrocardiograms (ECGs).
The areas where the provider should make improvements are:
- Improve significant event reporting to include events that are dealt with successfully and minor administrative errors.
- The practice should review the process to identify and review high risk medicines in collaboration with the pharmacist.
- Review the availability of clinical waste bins in all consulting and treatment rooms.
- Improve their systems to ensure they inform the CQC of any changes to the registered details of the service in a timely manner.
- Review their systems to ensure all GPs can readily access and contribute to shared care plans on the clinical system.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice