Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at College Road Surgery on 18 February 2016. The practice was rated as inadequate for providing safe, effective, caring, responsive and well-led services. The overall rating for the practice was inadequate and the practice was placed in special measures for a period of six months. The full comprehensive report on the February 2016 inspection can be found by selecting the ‘all reports’ link for College Road Surgery on our website at www.cqc.org.uk.
This inspection was undertaken following the period of special measures and was an announced comprehensive inspection on 17 November 2016. Overall the practice is now rated as requires improvement.
Our key findings were as follows:
- There was an open and transparent approach to safety and an effective system in place for reporting and recording significant events.
- 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; although some said that staff could be dismissive and they did not always feel they were involved in their care and decisions about their treatment.
- 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 difficult to make an appointment with a GP of their choice but urgent appointments were available the same day.
- The practice had good facilities and was 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.
We saw one area of outstanding practice:
The practice had a large number on non- English speakers on their practice list. In order to ensure that patients understood the consent questions that they were asked, the practice provided audio recordings of these consent questions. These questions were provided in the four main languages used by patients; Urdu, Punjabi, Hindi and Polish.
However, there were also areas of practice where the provider needs to make improvements.
The provider should:
- Continue to review processes to ensure patients with long term conditions receive the best care.
- Continue to review and improve the uptake of childhood immunisations and national screening programmes.
- Continue to review and improve patient satisfaction.
I am taking this service out of special measures. This recognises the significant improvements made to the quality of care provided by the service.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice