Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection of Nork Clinic on 14 April 2015. We visited the practice location at 63 Nork Way, Banstead, Surrey SM7 1HL.
Overall the practice is rated as good. Specifically, we found the practice to be good for providing effective, caring, responsive and well-led services. It required improvement for providing safe services. It was good for providing services for older people, people with long-term conditions, families, children and young people, working age people (including those recently retired and students), people whose circumstances may make them vulnerable and people experiencing poor mental health (including people with dementia).
The inspection team spoke with staff and patients and reviewed policies and procedures. The practice understood the needs of the local population and engaged effectively with other services. The practice was committed to providing high quality patient care and patients told us they felt the practice was caring and responsive to their needs.
Our key findings across all the areas we inspected were as follows:
- 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. However, staff had not received training in the safeguarding of children at a level appropriate to their role.
- Patients said they were treated with compassion, dignity and respect and they were involved in care and decisions about their treatment.
- The practice engaged effectively with other services to ensure continuity of care for patients.
- The practice understood the needs of the local population and planned services to meet those needs.
There were areas of practice where the provider needs to make improvements.
Importantly, the provider must:
- Ensure that all staff are trained in safeguarding of children at a level appropriate to their role and that contact details for local authority safeguarding teams are accessible to all staff within the practice.
- Ensure risk assessment and monitoring processes effectively identify, assess and manage risks relating to fire safety arrangements.
- Ensure the actions identified as a result of auditing of infection control processes are documented and reviewed so that progress and completion can be monitored.
- Ensure all remedial works and ongoing monitoring recommendations are implemented in order to reduce the risk of exposure of staff and patients to legionella bacteria.
In addition the provider should:
- Ensure that used and sealed sharps bins are stored securely, away from patient treatment areas.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice