Letter from the Chief Inspector of General Practice
We carried out an announced inspection of Springfield Surgery on 30 September 2015. This was a comprehensive inspection under Section 60 of the Health and Social Care Act (2008) as part of our regulatory functions. The practice achieved an overall rating of requires improvement. Specifically, we found the practice to require improvement for providing safe and well-led services. We found it to be good for providing effective, caring and responsive services. Consequently, it requires improvement for providing services for older people; people with long-term conditions; families, children and young people; working age people; people whose circumstances may make them vulnerable and people experiencing poor mental health.
Our key findings were as follows:
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Systems were in place to identify and respond to concerns about the safeguarding of adults and children.
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We saw patients receiving respectful treatment from staff. Patients felt they were seen by friendly and helpful staff. Patients reported feeling satisfied with the care and treatment they received.
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The practice offered a number of services designed to promote patients’ health and wellbeing and prevent the onset of illness.
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The practice acted upon best practice guidance to further improve patient care.
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The management and meeting structure ensured that appropriate clinical decisions were reached and action was taken.
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Systems to ensure the appropriate management of medicines were lacking or not fully implemented.
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Some systems designed to assess the risk of and to prevent, detect and control the spread of infection were lacking or not fully implemented.
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Some systems designed to assess, monitor, mitigate risks to and improve the quality and safety of services for patients were lacking.
There were areas of practice where the provider needs to make improvements.
Importantly, the provider must:
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Ensure an appropriate system is in place for the safe use and management of medicines and prescriptions, including the dispensing of controlled drugs.
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Ensure that systems designed to assess the risk of and to prevent, detect and control the spread of infection are fully implemented.
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Ensure that the processes for recording action and learning points and reviewing the effectiveness of any action taken in relation to reported incidents and events are sufficient. Ensure staff are made aware of the decisions made and any changes in practice required.
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Ensure a plan of action to control and resolve risks identified by health and safety related risk assessments is completed.
In addition the provider should:
- Ensure that the staff yet to complete safeguarding, equality and diversity and other essential training do so.
- Ensure there is a programme of repeated (full cycle) clinical audit.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice